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

Programa Sida De San Juan

Programa Sida De San Juan was paid $420K by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 79% of everything it billed.

33Billing provider infoPROGRAMA SIDA DE SAN JUAN
SAN JUAN, PR 00909
33aNPI1982815437assigned 05/25/2007
28Total paid$420K
24GClaims38,135
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other State or Local Public Health Clinic/Center providers in Puerto Rico

Rank by total paid#1 of 11
Median peer was paid$40K
This provider vs. median11×

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$5.0K$10K$15K2018201920202021202220232024
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
20186,272$100K
20196,993$36K
20205,561$45K
20213,521$66K
20222,287$41K
20234,476$62K
2024incomplete9,025$70K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 79% 25,976 19,777 $333K
99443 7.7% 1,263 967 $32K
97803 4.5% 1,644 1,593 $19K
99442 3.4% 801 572 $14K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 674 504 $4K
0012A <1% 111 109 $4K
0011A <1% 123 107 $3K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient <1% 1,374 883 $3K
99441 <1% 134 132 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 57 51 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 605 411 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 584 484 $1K
41 more codes
0013A <1% 83 $840.08
96160 <1% 13 $450.00
96127 <1% 250 $353.68
90686 <1% 300 $128.00
90750 <1% 17 $70.00
90791 Psychiatric diagnostic evaluation <1% 12 $18.00
90472 Immunization administration, each additional vaccine (list separately) <1% 20 $6.00
91301 0% 74 $0.00
3075F 0% 44 $0.00
1125F 0% 60 $0.00
3074F 0% 505 $0.00
99214 Doctor's office visit, returning patient (more involved) 0% 378 $0.00
1126F 0% 106 $0.00
3037F 0% 127 $0.00
3496F 0% 41 $0.00
2010F 0% 90 $0.00
3500F 0% 15 $0.00
3008F 0% 262 $0.00
4050F 0% 232 $0.00
0513F 0% 90 $0.00
90834 Psychotherapy session, about 45 minutes 0% 144 $0.00
3080F 0% 27 $0.00
3510F 0% 38 $0.00
3503F 0% 27 $0.00
4276F 0% 16 $0.00
4293F 0% 16 $0.00
90656 0% 28 $0.00
3079F 0% 58 $0.00
4062F 0% 61 $0.00
3028F 0% 359 $0.00
3078F 0% 633 $0.00
3077F 0% 58 $0.00
90853 Group psychotherapy (other than of a multiple-family group) 0% 75 $0.00
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 0% 351 $0.00
4270F 0% 16 $0.00
3498F 0% 46 $0.00
91312 0% 18 $0.00
90611 0% 51 $0.00
0124A 0% 21 $0.00
99215 Doctor's office visit, returning patient (complex) 0% 15 $0.00
1159F 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 officialLLUVERAS, AMAURY (ADMINISTRATOR)