Metro Pavia Healthcare Center
Metro Pavia Healthcare Center was paid $75K by Medicaid between Jul 2019 and Aug 2024, across 7 billing codes. Its largest line is 99283, emergency room visit (moderate) — 98% of everything it billed.
BAYAMON, PR 00959
Next to other Emergency Care Clinic/Center 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 | |
|---|---|---|---|
| 2019 | 80 | $210.00 | |
| 2020 | 34 | $1K | |
| 2021 | 231 | $5K | |
| 2022 | 307 | $13K | |
| 2023 | 1,284 | $49K | |
| 2024incomplete | 479 | $6K |
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 | 98% | 1,833 | 1,316 | $73K |
| 71046 | Radiologic examination, chest; 2 views | 1.0% | 56 | 56 | $754.58 |
| 99051 | <1% | 118 | 105 | $630.00 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 15 | 14 | $153.00 |
| 72100 | <1% | 16 | 12 | $114.69 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 303 | 253 | $10.15 |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 0% | 74 | 53 | $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 |
|---|---|---|
| Pediatric Associates, LLC | Bristol, CT | $3.66M |
| Morning Star Adult Day Care Corp | Miami, FL | $990K |
| Flanders Pediatrics LLC | East Lyme, CT | $772K |
| Metro Pavia Healthcare Centers INC | Ponce, PR | $370K |
| Metro Toa Baja, INC. | Toa Baja, PR | $209K |
| Laboratorio Alhambra, LLC | Juana Diaz, PR | $113K |
| Integrate Community Health System | Aguadilla, PR | $70K |
| Metro Toa Baja INC. | Toa Baja, PR | $66K |
| Metro Toa Baja INC. | Toa Baja, PR | $37K |
| Madorsky, Pinon, Bruck & Mennie Urology Center of South Florida PA | Miami, FL | $14K |
| Metro Pavia Healthcare Center | Arecibo, PR | $7K |
| Metro Pavia Healthcare Centers INC | Ponce, PR | $5K |
| Integrate Community Health System | Fajardo, PR | $4K |
| Metro Pavia Healthcare Center | Bayamon, PR | $3K |
| Integrate Community Health System | Aguadilla, PR | $2K |
| Metro Pavia Healthcare Centers | Bayamon, PR | $1K |
| Maria Isabel Lopez, MD, PA | Daytona Beach, FL | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.