Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

PM & R Medical Diagnostics PSC

PM & R Medical Diagnostics PSC was paid $87K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 97035, — 51% of everything it billed.

33Billing provider infoPM & R MEDICAL DIAGNOSTICS PSC
GUAYNABO, PR 00969
33aNPI1912070822assigned 11/16/2006
28Total paid$87K
24GClaims5,974
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Physical Medicine & Rehabilitation Physician providers in Puerto Rico

Rank by total paid#55 of 88
Median peer was paid$135K
This provider vs. median0.6×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018648$5K
2019237$1K
2020616$7K
20211,316$11K
2022845$12K
2023979$20K
2024incomplete1,333$31K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97035 51% 3,903 798 $44K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24% 453 380 $21K
97162 9.0% 108 106 $8K
97032 8.4% 1,049 174 $7K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.8% 118 89 $4K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2.2% 201 49 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 65 12 $844.36
97124 <1% 77 20 $63.18

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialRIVERA MORALES, RAMON (PRESIDENT)