Integrate Community Health System
Integrate Community Health System was paid $115K by Medicaid between Jan 2019 and Oct 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
AGUADILLA, PR 00603
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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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 364 | $15K | |
| 2020 | 569 | $29K | |
| 2021 | 265 | $14K | |
| 2022 | 408 | $19K | |
| 2023 | 342 | $13K | |
| 2024incomplete | 696 | $24K |
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 | 40% | 794 | 780 | $45K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 16% | 413 | 403 | $19K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 15% | 308 | 303 | $18K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 12% | 304 | 301 | $14K |
| 99205 | Prolong outpt/office vis | 12% | 272 | 271 | $14K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 4.4% | 89 | 87 | $5K |
| 3078F | 0% | 80 | 76 | $0.00 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 0% | 73 | 38 | $0.00 |
| 3008F | 0% | 180 | 172 | $0.00 | |
| 3074F | 0% | 71 | 69 | $0.00 | |
| 76641 | 0% | 48 | 12 | $0.00 | |
| 3079F | 0% | 12 | 12 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Metro Pavia Healthcare Centers | Arecibo, PR | $1.17M |
| Integrate Community Health System | Guayama, PR | $525K |
| Metro Pavia Healthcare Centers INC | Carolina, PR | $179K |
| Integrate Community Health System | San Juan, PR | $95K |
| Integrate Community Health System | Humacao, PR | $67K |
| Integrate Community Health System | Caguas, PR | $49K |
| Integrate Community Health System | Carolina, PR | $40K |
| Integrate Community Health System | Bayamon, PR | $25K |
| Integrate Community Health System, INC. | Aguadilla, PR | $18K |
| Metro Pavia Healthcare Centers | Ponce, PR | $11K |
| Integrate Community Health System | Bayamon, PR | $5K |
| Metro Pavia Healthcare Center | Arecibo, PR | $3K |
| Integrate Community Health System, INC | Bayamon, PR | $866.58 |
| Integrate Community Health System | Bayamon, PR | $365.40 |
| Integrate Community Health System | Guayama, PR | $209.20 |
| Integrate Community Health System | Hato Rey, PR | $99.00 |
| Metro Pavia Healthcare Centers INC | Carolina, PR | $54.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.