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    OpenPayerNPI Medicare & MedicaidCentro Servicios Primarios De Salud De Patillas In…
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    Centro Servicios Primarios De Salud De Patillas Inc. — Billing Profile & Reimbursement Data

    NPI 1275539728 · Patillas, PR · Federally Qualified Health Center (FQHC)

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    Centro Servicios Primarios De Salud De Patillas Inc. is a federally qualified health center (fqhc) provider located in Patillas, Puerto Rico. This profile covers 0 Medicare and 186 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCentro Servicios Primarios De Salud De Patillas Inc.
    Address99 Guillermo Riefkohl St.
    CityPatillas
    StatePR
    ZIP00723
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedJune 21, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$3.1M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    186 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S9088Services provided in an urgent care center (list in addition to code for service)33,470$20$669.5K
    S9083Global fee urgent care centers9,440$30$283.1K
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…2,100$90$197.3K
    0002AN/A4,950$40$178.1K
    0001AN/A5,610$30$157.2K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.13,520$10$121.7K
    90461In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…11,460$10$103.1K
    90460In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.17,680$10$88.4K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…70,620$1$70.6K
    0004AN/A1,860$40$68.9K

    Showing 1–10 of 186

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Puerto Rico providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Puerto Rico median

    186 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99051The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.68801,370$40$272.9K
    S9083Global fee urgent care centers7501,520$40$206K
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…621501,180$70$170.3K
    76641In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.72180890$70$145.5K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.78801,150$50$125.5K
    77066The provider performs X–ray imaging on both breasts in a patient with a lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential abnormalities…91130480$90$109.4K
    S9088Services provided in an urgent care center (list in addition to code for service)1101,850$20$98.6K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…6957702,520$20$65.5K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…340370370$50$63.3K
    76700An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…101230510$60$61K

    Showing 1–10 of 186

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Centro Servicios Primarios De Salud De Patillas Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Luis RodriguezPRDiagnostic Radiology Physician$2K$1.3M
    Luis Melendez-moralesPRVascular & Interventional Radiology Physician$6.8K$0

    Nearby Providers

    Other providers in the same ZIP code as Centro Servicios Primarios De Salud De Patillas Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Laboratorio Clinico Y Bacteriologico Genesis Inc.PRClinical Medical Laboratory$32.9K$7.5M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Puerto Rico Providers
    4 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Puerto Rico Distribution
    Centro Servicios Primarios De Salud De Patillas Inc. — 14 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico