Managed care
Servicios De Salud Primarios De Aguas Buenas, CSP
Servicios De Salud Primarios De Aguas Buenas, CSP was paid $34K by Medicaid between Dec 2018 and Oct 2024, across 21 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 65% of everything it billed.
33Billing provider infoSERVICIOS DE SALUD PRIMARIOS DE AGUAS BUENAS, CSP
AGUAS BUENAS, PR 00703
AGUAS BUENAS, PR 00703
33aNPI1992725402assigned 07/20/2006
33bProvider typeHealth Maintenance Organization
28Total paid$34K
24GClaims23,062
24DCodes billed21
24AFirst – last monthDec 2018 – Oct 2024
Compared with peers
Next to other Health Maintenance Organization providers in Puerto Rico
Rank by total paid#18 of 37
Median peer was paid$25K
This provider vs. median1.3×
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 | 130 | $0.00 | |
| 2019 | 6,050 | $1K | |
| 2020 | 3,914 | $11K | |
| 2021 | 5,049 | $8K | |
| 2022 | 4,181 | $8K | |
| 2023 | 2,871 | $4K | |
| 2024incomplete | 867 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 65% | 15,143 | 12,568 | $22K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 3,784 | 2,868 | $11K |
| 96160 | 1.8% | 196 | 84 | $600.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,570 | 1,301 | $298.34 |
| 99441 | <1% | 328 | 293 | $112.41 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | 14 | $30.00 |
| G2010 | Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment | 0% | 19 | 18 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 94 | 75 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 167 | 127 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 154 | 117 | $0.00 |
| 3078F | 0% | 153 | 146 | $0.00 | |
| 3077F | 0% | 12 | 12 | $0.00 |
9 more codes
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 officialGONZALEZ GOMEZ, ALFREDO (SOCIO ADMINISTRADOR)