Hospital
Puerto Rico Children's Hospital,inc.
Puerto Rico Children's Hospital,inc. was paid $89K by Medicaid between Nov 2018 and Jan 2020, across 10 billing codes. Its largest line is 71046, Radiologic examination, chest; 2 views — 41% of everything it billed.
33Billing provider infoPUERTO RICO CHILDREN'S HOSPITAL,INC.
BAYAMON, PR 00959
BAYAMON, PR 00959
33aNPI1992988802assigned 12/13/2007
33bProvider typeChildren's Hospital
28Total paid$89K
24GClaims7,191
24DCodes billed10
24AFirst – last monthNov 2018 – Jan 2020
Compared with peers
Next to other Children's Hospital providers in Puerto Rico
Rank by total paid#5 of 5
Median peer was paid$119K
This provider vs. median0.7×
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 | 1,009 | $9K | |
| 2019 | 5,820 | $73K | |
| 2020 | 362 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 71046 | Radiologic examination, chest; 2 views | 41% | 4,874 | 4,028 | $36K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 22% | 265 | 234 | $20K |
| 70450 | Computed tomography, head or brain; without contrast material | 17% | 325 | 301 | $15K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 6.2% | 186 | 172 | $6K |
| 70210 | 5.1% | 653 | 610 | $5K | |
| 76770 | 2.5% | 76 | 70 | $2K | |
| 74018 | 1.9% | 298 | 243 | $2K | |
| 74019 | 1.6% | 210 | 189 | $1K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 1.5% | 45 | 42 | $1K |
| 71045 | Radiologic examination, chest; single view | 1.3% | 259 | 179 | $1K |
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 officialVARGAS, MARIA (FINANCE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| A&m Home Health Agency, LLC | Edinburg, TX | $12.35M |
| Agape Network, INC. | Miami, FL | $355K |
| Agape Network, INC. | Miami Gardens, FL | $191K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.