Physician
Physician Hmo INC.
Physician Hmo INC. was paid $58.50 by Medicaid between Nov 2018 and Jan 2019, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.
33Billing provider infoPHYSICIAN HMO INC.
RIO PIEDRAS, PR 00921
RIO PIEDRAS, PR 00921
33aNPI1922379718assigned 01/25/2012
33bProvider typeGeneral Practice Physician
28Total paid$58.50
24GClaims2,209
24DCodes billed22
24AFirst – last monthNov 2018 – Jan 2019
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#873 of 1,195
Median peer was paid$2K
This provider vs. median0.0×
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 | 1,865 | $58.50 | |
| 2019 | 344 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 100% | 324 | 300 | $58.50 |
| 3725F | 0% | 211 | 192 | $0.00 | |
| 3078F | 0% | 181 | 169 | $0.00 | |
| 3077F | 0% | 63 | 57 | $0.00 | |
| 1158F | 0% | 16 | 16 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 95 | 85 | $0.00 |
| 1090F | 0% | 84 | 74 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 21 | 19 | $0.00 |
| 4004F | 0% | 99 | 86 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 25 | 17 | $0.00 |
| 1159F | 0% | 16 | 16 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 26 | 24 | $0.00 |
10 more codes
| 1160F | 0% | 16 | $0.00 | |
| 3074F | 0% | 109 | $0.00 | |
| 3008F | 0% | 288 | $0.00 | |
| 1126F | 0% | 306 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 57 | $0.00 |
| 1170F | 0% | 71 | $0.00 | |
| 96127 | 0% | 14 | $0.00 | |
| 1157F | 0% | 131 | $0.00 | |
| 1031F | 0% | 42 | $0.00 | |
| 90686 | 0% | 14 | $0.00 |
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 officialVILLALOBOS, RAUL (PRESIDENT)
Parent organizationPHYSICIAN HMO INC.
| Provider | Location | Paid |
|---|---|---|
| Physician Hmo INC. | San Juan, PR | $410K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.