Clinic
CDT DR. Melendez, INC
CDT DR. Melendez, INC was paid $180K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99051, — 85% of everything it billed.
33Billing provider infoCDT DR. MELENDEZ, INC
MANATI, PR 00674
MANATI, PR 00674
33aNPI1972818318assigned 08/10/2010
33bProvider typeEmergency Care Clinic/Center
28Total paid$180K
24GClaims4,963
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Emergency Care Clinic/Center providers in Puerto Rico
Rank by total paid#26 of 55
Median peer was paid$175K
This provider vs. median1.0×
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 | 355 | $21K | |
| 2019 | 841 | $45K | |
| 2020 | 299 | $15K | |
| 2021 | 1,084 | $30K | |
| 2022 | 746 | $21K | |
| 2023 | 899 | $26K | |
| 2024incomplete | 739 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99051 | 85% | 4,251 | 2,845 | $154K | |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 4.8% | 124 | 122 | $9K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 4.6% | 94 | 76 | $8K |
| 0012A | 2.1% | 108 | 106 | $4K | |
| 0011A | 1.6% | 131 | 118 | $3K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 148 | 145 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 23 | 23 | $777.26 |
| 87276 | <1% | 23 | 23 | $341.00 | |
| 87275 | <1% | 23 | 23 | $269.50 | |
| 81000 | <1% | 38 | 38 | $144.72 |
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 officialMELENDEZ, MANUEL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Elemental Behavioral INC. | Miami, FL | $511K |
| CDT DR Melendez, INC | Manati, PR | $379K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.