Inspira Behavioral Care Corp.

Inspira Behavioral Care Corp. was paid $1.70M by Medicaid between Dec 2018 and Oct 2020, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.

33Billing provider infoINSPIRA BEHAVIORAL CARE CORP.
CAGUAS, PR 00726

33aNPI1982102216assigned 02/01/2018

33bProvider typeAdult Mental Health Clinic/Center

28Total paid$1.70M

24GClaims40,933

24DCodes billed7

24AFirst – last monthDec 2018 – Oct 2020

Compared with peers

Next to other Adult Mental Health Clinic/Center providers in Puerto Rico

Rank by total paid#2 of 19

Median peer was paid$14K

This provider vs. median118×

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.

Entity ProliferationAuthorized official TORRES, JAVIER controls 14+ related entities in our dataset. Read more

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	32	$1K
2019	22,699	$922K
2020	18,202	$774K

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	45%	17,026	14,467	$768K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	27%	12,519	10,457	$456K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	20%	8,531	7,574	$335K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	4.4%	1,672	1,443	$74K
90792	Psychiatric diagnostic evaluation with medical services	3.6%	957	805	$60K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	211	195	$3K
90849		<1%	17	17	$595.00

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 officialTORRES, JAVIER (CONTRACTING DEP DIRECTOR)

Same official

Other billing entities under TORRES, JAVIER

Full network →

Provider	Location	Paid
Inspira Behavioral Care Corp.	Yauco, PR	$1.07M
Inspira Behavioral Care Corp.	Humacao, PR	$1.03M
Inspira Behavioral Care Corp.	Carolina, PR	$781K
Inspira Behavioral Care Corp.	Bayamon, PR	$741K
Inspira Behavioral Care Corp.	Cidra, PR	$705K
Inspira Behavioral Care Corp.	Coamo, PR	$552K
Inspira Behavioral Care Corp.	Guayama, PR	$505K
Inspira Behavioral Care Corp.	Rio Grande, PR	$398K
Inspira Behavioral Care Corp.	Caguas, PR	$320K
Inspira Behavioral Care Corp.	San Juan, PR	$114K
Inspira Behavioral Care Corp.	San Juan, PR	$14K
Inspira Behavioral Care Corp.	Bayamon, PR	$11K
Inspira Behavioral Care Corp.	Hato Rey, PR	$853.00
Inspira Behavioral Care Corp.	Hato Rey, PR	$747.45

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