Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Metro Pavia at Home LLC

Metro Pavia at Home LLC was paid $5.58M by Medicaid between Nov 2018 and Oct 2024, across 9 billing codes. Its largest line is G0299, Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes — 68% of everything it billed.

33Billing provider infoMETRO PAVIA AT HOME LLC
SAN JUAN, PR 00917
33aNPI1972917946assigned 06/17/2014
33bProvider typeHome Health Agency
28Total paid$5.58M
24GClaims58,656
24DCodes billed9
24AFirst – last monthNov 2018 – Oct 2024
Compared with peers

Next to other Home Health Agency providers in Puerto Rico

Rank by total paid#2 of 29
Median peer was paid$378K
This provider vs. median15×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
2018532$27K
20196,442$568K
202014,224$1.32M
202112,009$1.15M
202210,128$971K
20238,121$830K
2024incomplete7,200$719K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 68% 36,453 6,504 $3.77M
G0151 Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes 18% 11,139 2,723 $999K
S9379 Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem 9.4% 7,449 668 $524K
G0152 Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes 2.3% 1,405 489 $130K
E2402 Negative pressure wound therapy electrical pump, stationary or portable 1.3% 1,107 64 $74K
G0156 Services of home health/hospice aide in home health or hospice settings, each 15 minutes <1% 811 154 $52K
G0155 Services of clinical social worker in home health or hospice settings, each 15 minutes <1% 139 116 $15K
G0153 Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes <1% 103 26 $10K
99600 Unlisted home visit service or procedure <1% 50 50 $6K

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 officialVELEZ, LISANDRA (EXECUTIVE DIRECTOR)
Same official

Other billing entities under VELEZ, LISANDRA

Full network →
ProviderLocationPaid
Metro Pavia at Home LLCSan Juan, PR$958K
Metro Pavia at Home, LLCLas Piedras, PR$749K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.