Recinto De Ciencias Medicas
Recinto De Ciencias Medicas was paid $3.95M by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 70% of everything it billed.
SAN JUAN, PR 00929
Next to other Pediatrics Physician providers in Puerto Rico
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 | |
|---|---|---|---|
| 2018 | 10,230 | $178K | |
| 2019 | 9,923 | $238K | |
| 2020 | 7,147 | $300K | |
| 2021 | 7,737 | $582K | |
| 2022 | 10,271 | $766K | |
| 2023 | 12,750 | $1.04M | |
| 2024incomplete | 9,242 | $848K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 70% | 49,441 | 10,241 | $2.76M |
| 99223 | Prolong inpt eval add15 m | 23% | 9,125 | 7,978 | $897K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 5.9% | 5,295 | 4,762 | $232K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 1.2% | 3,367 | 3,145 | $49K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | <1% | 32 | 32 | $4K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 17 | 16 | $2K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 23 | 13 | $2K |
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 |
|---|---|---|
| Recinto De Ciencias Medicas | Carolina, PR | $6.83M |
| Recinto De Ciencias Medicas | San Juan, PR | $5.42M |
| Recinto De Ciencias Medicas | San Juan, PR | $4.21M |
| Recinto De Ciencias Medicas | Rio Piedras, PR | $3.77M |
| Recinto De Ciencias Medicas | San Juan, PR | $3.42M |
| Recinto De Ciencias Medicas | Rio Piedras, PR | $3.09M |
| Recinto De Ciencias Medicas | San Juan, PR | $3.04M |
| Recinto De Ciencias Medicas | Rio Piedras, PR | $2.68M |
| Recinto De Ciencias Medicas | San Juan, PR | $2.37M |
| Recinto De Ciencias Medicas | Rio Piedras, PR | $2.09M |
| Recinto De Ciencias Medicas | Carolina, PR | $2.03M |
| Recinto De Ciencias Medicas | San Juan, PR | $1.18M |
| Recinto De Ciencias Medicas | San Juan, PR | $1.05M |
| Recinto De Ciencias Medicas | Carolina, PR | $1.01M |
| Recinto De Ciencias Medicas | Carolina, PR | $954K |
| Recinto De Ciencias Medicas | San Juan, PR | $885K |
| Recinto De Ciencias Medicas | San Juan, PR | $879K |
| Recinto De Ciencias Medicas | San Juan, PR | $839K |
| Recinto De Ciencias Medicas | Carolina, PR | $822K |
| Recinto De Ciencias Medicas | Carolina, PR | $767K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.