Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidCorporacion Servicios Medicos Primarios Y Prevenci…
    Ask Trek AI about this page

    Corporacion Servicios Medicos Primarios Y Prevencion De Hatillo — Billing Profile & Reimbursement Data

    NPI 1306877279 · Hatillo, PR · Federally Qualified Health Center (FQHC)

    Customize your policy alerts

    Sign up for Corporacion Servicios Medicos Primarios Y Prevencion De Hatillo — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Corporacion Servicios Medicos Primarios Y Prevencion De Hatillo is a federally qualified health center (fqhc) provider located in Hatillo, Puerto Rico. This profile covers 0 Medicare and 122 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCorporacion Servicios Medicos Primarios Y Prevencion De Hatillo
    AddressPr 2 Km 86.6
    CityHatillo
    StatePR
    ZIP00659
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedJuly 6, 2006

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

    Payer SourceTotal Paid
    Medicaid$2.9M
    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.

    122 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…142,960$10$857.8K
    96160The provider administers a questionnaire aimed at helping to identify a specific health risk to a patient, analyzes the results, assigns a score, and documents the findings. Use this code for each…28,730$30$804.3K
    99050In this procedure, the provider renders services to a patient in his office at a time when that office would otherwise be closed.18,590$30$632.1K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…24,530$10$122.6K
    99442N/A22,920$1$91.7K
    99203The provider sees a new 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 provider…4,210$20$71.5K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.8,170$10$49K
    90472This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.4,670$10$42K
    0002AN/A1,170$20$28.1K
    99443N/A1,700$10$20.4K

    Showing 1–10 of 122

    • 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

    122 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.42801,370$40$272.9K
    88142The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…2450370$20$247.3K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…205210380$210$230.1K
    99050In this procedure, the provider renders services to a patient in his office at a time when that office would otherwise be closed.6901,090$10$47K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…298900360$30$42.5K
    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…153,230330$10$42.4K
    99203The provider sees a new 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 provider…321,400160$50$29.6K
    90472This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.271701,560$10$28K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.292101,600$10$27.7K
    0002AN/A33160310$30$23.3K

    Showing 1–10 of 122

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Corporacion Servicios Medicos Primarios Y Prevencion De Hatillo, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nannette ToroPRPediatrics Physician$0$798.6K
    Orlando Marini RomanPRInterventional Cardiology Physician$9.1K$63.4K
    Rafael Delgado CruzPRCardiovascular Disease Physician$14.6K$0
    Ana Igartua VerayPRGeneral Practice Physician$3.6K$3.8K

    Nearby Providers

    Other providers in the same ZIP code as Corporacion Servicios Medicos Primarios Y Prevencion De Hatillo, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dauilmar Franco GinoroPRClinical Medical Laboratory$0$3.6M
    Lj Health Group IncPRClinical Medical Laboratory$0$2M
    Rr Laboratory Services, IncPRClinical Medical Laboratory$3.6K$1.1M
    Speech N Play Therapy GroupPRSpeech-Language Pathologist$0$716.4K
    Juan Nieves-riveraPRCardiovascular Disease Physician$23.2K$651.8K
    Jeannette Toledo RodriguezPRClinical Medical Laboratory$1.8K$635K
    Gretchen Martinez AlayonPRInternal Medicine Physician$59.5K$0
    Kathy Caraballo RiveraPRFamily Medicine Physician$6.6K$23.7K
    Dawilmar Franco GinorioPRClinical Medical Laboratory$27.9K$0
    Wal-mart Puerto Rico IncPRCommunity/Retail Pharmacy$13.7K$0

    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
    5 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Puerto Rico Distribution
    Corporacion Servicios Medicos Primarios Y Prevencion De Hatillo — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico