Hospital Comunitario Buen Samaritano INC

Hospital Comunitario Buen Samaritano INC was paid $105K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99283, emergency room visit (moderate) — 32% of everything it billed.

33Billing provider infoHOSPITAL COMUNITARIO BUEN SAMARITANO INC
AGUADILLA, PR 00603

33aNPI1922034776assigned 06/23/2006

33bProvider typeGeneral Acute Care Hospital

28Total paid$105K

24GClaims9,422

24DCodes billed17

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other General Acute Care Hospital providers in Puerto Rico

Rank by total paid#39 of 58

Median peer was paid$486K

This provider vs. median0.2×

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

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

Year	Claims	Paid
2018	2,073	$4K
2019	3,329	$61K
2020	58	$275.40
2021	57	$232.00
2022	87	$359.80
2023	3,101	$28K
2024incomplete	717	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	32%	3,060	2,945	$33K
74177	Computed tomography, abdomen and pelvis; with contrast material	27%	384	364	$28K
70450	Computed tomography, head or brain; without contrast material	16%	462	435	$17K
74176	Computed tomography, abdomen and pelvis; without contrast material	6.1%	52	51	$6K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	5.1%	2,855	2,170	$5K
99282	Emergency department visit for the evaluation and management, low to moderate severity	3.8%	267	225	$4K
71046	Radiologic examination, chest; 2 views	3.0%	638	591	$3K
71045	Radiologic examination, chest; single view	2.7%	1,263	1,064	$3K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	1.5%	48	45	$2K
76700	Ultrasound, abdominal, real time with image documentation; complete	1.4%	116	103	$1K
74021		<1%	72	69	$605.44
76830	Ultrasound, transvaginal	<1%	31	29	$459.28

5 more codes

72100		<1%	41	$203.08
72040		<1%	34	$125.90
73030		<1%	18	$50.00
77067	Screening mammography, bilateral, including computer-aided detection	<1%	69	$46.76
73560		<1%	12	$34.62

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 officialNIEVES ROSARIO, JESUS (EXECUTIVE DIRECTOR)