Hospital
DR Susoni Health Community Services Corp
DR Susoni Health Community Services Corp was paid $1.93M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is 74176, Computed tomography, abdomen and pelvis; without contrast material — 15% of everything it billed.
33Billing provider infoDR SUSONI HEALTH COMMUNITY SERVICES CORP
ARECIBO, PR 00612
ARECIBO, PR 00612
33aNPI1972531218assigned 06/28/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$1.93M
24GClaims46,413
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Acute Care Hospital providers in Puerto Rico
Rank by total paid#8 of 58
Median peer was paid$486K
This provider vs. median4.0×
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 | 3,843 | $56K | |
| 2019 | 6,569 | $179K | |
| 2020 | 3,872 | $108K | |
| 2021 | 4,602 | $198K | |
| 2022 | 6,615 | $359K | |
| 2023 | 10,590 | $441K | |
| 2024incomplete | 10,322 | $586K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 15% | 2,566 | 1,986 | $283K |
| 70450 | Computed tomography, head or brain; without contrast material | 13% | 3,721 | 2,816 | $252K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 13% | 1,976 | 1,450 | $247K |
| 99205 | Prolong outpt/office vis | 12% | 2,164 | 2,136 | $240K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 7.0% | 1,539 | 1,486 | $135K |
| 99070 | 5.0% | 3,691 | 3,552 | $97K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 4.9% | 1,119 | 1,104 | $94K |
| 99223 | Prolong inpt eval add15 m | 4.1% | 3,410 | 3,305 | $79K |
| 99221 | 3.8% | 1,081 | 1,060 | $73K | |
| 71045 | Radiologic examination, chest; single view | 3.2% | 10,172 | 5,914 | $62K |
| 93000 | 2.6% | 3,788 | 3,591 | $51K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 2.4% | 79 | 77 | $46K |
31 more codes
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.0% | 248 | $39K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.9% | 322 | $36K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 1.7% | 1,139 | $32K |
| 72125 | Computed tomography, cervical spine; without contrast material | 1.5% | 361 | $30K |
| 71046 | Radiologic examination, chest; 2 views | 1.5% | 3,289 | $29K |
| 59515 | 1.5% | 128 | $28K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 1.1% | 112 | $22K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 3,594 | $18K |
| D9222 | <1% | 93 | $10K | |
| 59514 | <1% | 17 | $6K | |
| 99283 | Emergency room visit (moderate) | <1% | 868 | $3K |
| 47562 | <1% | 12 | $3K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 92 | $3K |
| 58150 | <1% | 13 | $3K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 19 | $1K |
| 44389 | <1% | 52 | $1K | |
| 71250 | <1% | 13 | $1K | |
| 74018 | <1% | 208 | $785.12 | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 12 | $673.76 |
| 93307 | <1% | 30 | $592.80 | |
| 72131 | <1% | 12 | $408.78 | |
| 73560 | <1% | 42 | $395.90 | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 28 | $313.31 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 174 | $132.59 |
| 73030 | <1% | 13 | $93.06 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 52 | $76.80 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 74 | $25.00 |
| 43235 | 0% | 13 | $0.00 | |
| Q9965 | Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml | 0% | 33 | $0.00 |
| 93320 | 0% | 32 | $0.00 | |
| 94668 | 0% | 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.
From NPPES
Who's on the registration
Authorized officialORTIZ, HECTOR (FINANCE DIRECTOR)