Clinic
Atenas Community Health Center Achc INC
Atenas Community Health Center Achc INC was paid $1.16M by Medicaid between Jan 2019 and Dec 2024, across 99 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoATENAS COMMUNITY HEALTH CENTER ACHC INC
MANATI, PR 00674
MANATI, PR 00674
33aNPI1962715276assigned 07/16/2010
33bProvider typeClinic/Center
28Total paid$1.16M
24GClaims189,188
24DCodes billed99
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Puerto Rico
Rank by total paid#4 of 117
Median peer was paid$38K
This provider vs. median31×
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 | |
|---|---|---|---|
| 2019 | 12,470 | $71K | |
| 2020 | 16,254 | $175K | |
| 2021 | 26,149 | $218K | |
| 2022 | 48,533 | $301K | |
| 2023 | 44,855 | $191K | |
| 2024incomplete | 40,927 | $203K |
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 | 30% | 28,684 | 26,341 | $344K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 18% | 10,380 | 9,561 | $211K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 12% | 7,159 | 6,468 | $136K |
| 84443 | Thyroid stimulating hormone (TSH) | 4.9% | 5,554 | 5,494 | $57K |
| 80061 | Lipid panel | 3.5% | 5,091 | 5,042 | $41K |
| 80053 | Comprehensive metabolic panel | 2.9% | 5,237 | 5,176 | $33K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.8% | 6,593 | 6,449 | $32K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 2.8% | 1,882 | 1,870 | $32K |
| 0002A | 2.7% | 917 | 915 | $31K | |
| 0001A | 2.2% | 984 | 980 | $26K | |
| 87276 | 1.8% | 4,572 | 4,362 | $21K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.7% | 3,420 | 3,384 | $19K |
87 more codes
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 1.4% | 416 | $17K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.4% | 7,014 | $16K |
| 0003A | 1.3% | 384 | $15K | |
| 84439 | 1.1% | 1,957 | $13K | |
| 36415 | Collection of venous blood by venipuncture | 1.1% | 9,703 | $13K |
| 81000 | <1% | 5,493 | $10K | |
| 84153 | <1% | 835 | $9K | |
| 82043 | <1% | 2,064 | $8K | |
| 99283 | Emergency room visit (moderate) | <1% | 158 | $8K |
| 82274 | <1% | 837 | $8K | |
| S9083 | Global fee urgent care centers | <1% | 219 | $7K |
| 86328 | <1% | 628 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,103 | $6K |
| 99284 | Emergency room visit (serious) | <1% | 331 | $6K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 803 | $4K |
| 96160 | <1% | 322 | $4K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 148 | $3K |
| 80074 | <1% | 108 | $3K | |
| 87275 | <1% | 349 | $3K | |
| 86738 | <1% | 267 | $2K | |
| 82465 | <1% | 492 | $2K | |
| 84479 | <1% | 654 | $2K | |
| 86701 | <1% | 228 | $1K | |
| 84436 | <1% | 512 | $1K | |
| 82805 | <1% | 127 | $1K | |
| 82270 | <1% | 426 | $815.60 | |
| 90686 | <1% | 190 | $760.00 | |
| 86592 | <1% | 270 | $610.50 | |
| 84481 | <1% | 33 | $529.45 | |
| 90670 | <1% | 125 | $500.00 | |
| 82570 | <1% | 116 | $395.28 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 211 | $375.78 |
| 90651 | <1% | 91 | $364.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 28 | $327.34 |
| 86038 | <1% | 53 | $299.78 | |
| 90716 | <1% | 74 | $292.00 | |
| 94760 | <1% | 163 | $289.14 | |
| 90734 | <1% | 71 | $284.00 | |
| 87088 | <1% | 50 | $233.32 | |
| 90707 | <1% | 56 | $220.00 | |
| 85651 | <1% | 137 | $185.28 | |
| 90633 | <1% | 46 | $180.00 | |
| 82947 | <1% | 66 | $165.00 | |
| 90715 | <1% | 35 | $140.00 | |
| 82607 | <1% | 26 | $129.42 | |
| 90648 | <1% | 31 | $124.00 | |
| 87899 | <1% | 40 | $108.60 | |
| 81001 | <1% | 33 | $106.72 | |
| 85730 | <1% | 16 | $91.68 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 83 | $85.38 |
| 86431 | <1% | 42 | $64.92 | |
| 90620 | <1% | 16 | $64.00 | |
| 85610 | <1% | 17 | $63.75 | |
| 86140 | <1% | 45 | $58.50 | |
| 90700 | <1% | 14 | $56.00 | |
| 84550 | <1% | 74 | $54.53 | |
| 3075F | 0% | 1,684 | $0.00 | |
| 3049F | 0% | 262 | $0.00 | |
| 3048F | 0% | 648 | $0.00 | |
| 3074F | 0% | 4,089 | $0.00 | |
| 3008F | 0% | 11,524 | $0.00 | |
| 3017F | 0% | 662 | $0.00 | |
| 3061F | 0% | 485 | $0.00 | |
| 1126F | 0% | 8,581 | $0.00 | |
| 1125F | 0% | 2,979 | $0.00 | |
| 3060F | 0% | 436 | $0.00 | |
| 3080F | 0% | 664 | $0.00 | |
| 3044F | 0% | 650 | $0.00 | |
| 3079F | 0% | 3,154 | $0.00 | |
| 1170F | 0% | 2,333 | $0.00 | |
| 3014F | 0% | 141 | $0.00 | |
| 1157F | 0% | 375 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 42 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 61 | $0.00 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 14 | $0.00 |
| 1022F | 0% | 12 | $0.00 | |
| 1159F | 0% | 11,181 | $0.00 | |
| 3078F | 0% | 3,409 | $0.00 | |
| 1160F | 0% | 11,451 | $0.00 | |
| 3077F | 0% | 1,469 | $0.00 | |
| 3046F | 0% | 13 | $0.00 | |
| 3050F | 0% | 117 | $0.00 | |
| 1158F | 0% | 243 | $0.00 | |
| 2028F | 0% | 18 | $0.00 | |
| 86694 | 0% | 16 | $0.00 | |
| 86696 | 0% | 18 | $0.00 | |
| 4035F | 0% | 154 | $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 officialGOMEZ, ZEIMY (DIRECTORA EJECUTIVA)
| Provider | Location | Paid |
|---|---|---|
| Atenas Community Health Center Achc INC | Manati, PR | $220K |
| Atenas Community Health Center, INC | Manati, PR | $165K |
| Atenas Community Health Center Achc INC | Manati, PR | $285.02 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.