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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPrymed Medical Care, Inc
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    Prymed Medical Care, Inc — Billing Profile & Reimbursement Data

    NPI 1841605417 · Vega Baja, PR · Multi-Specialty Clinic/Center

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    Prymed Medical Care, Inc is a multi-specialty clinic/center provider located in Vega Baja, Puerto Rico. This profile covers 0 Medicare and 134 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
    OrganizationPrymed Medical Care, Inc
    AddressRoad #2 Km. 39.8
    CityVega Baja
    StatePR
    ZIP00693
    TaxonomyMulti-Specialty Clinic/Center
    NPI EnumeratedJune 23, 2014

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

    Payer SourceTotal Paid
    Medicaid$785.5K
    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.

    134 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…23,560$10$117.8K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth3,820$30$114.7K
    D1999N/A3,880$20$58.2K
    D0120Periodic oral evaluation - established patient3,000$20$45K
    D0330N/A1,160$30$38.2K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.4,190$10$37.7K
    D0272N/A2,480$20$37.2K
    D0150Comprehensive oral evaluation – new or established patient1,720$20$36.1K
    0004AN/A820$40$30.3K
    90472This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.2,220$10$28.9K

    Showing 1–10 of 134

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    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

    134 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.269340210$70$81.7K
    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…6987702,520$20$65.5K
    87590The lab analyst performs a test for Neisseria gonorrhoeae, a bacteria, using direct nucleic acid probe technique.6480150$20$59.4K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth1659901,060$30$53.1K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.7138102,350$10$52.7K
    99050In this procedure, the provider renders services to a patient in his office at a time when that office would otherwise be closed.55901,090$10$47K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.235310190$30$43.1K
    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…1033,230330$10$42.4K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.6977902,360$10$41.9K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…7478503,250$10$40.5K

    Showing 1–10 of 134

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Prymed Medical Care, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prymed Medical Care, IncPRFederally Qualified Health Center (FQHC)$0$2.1M
    Prymed Medical Care, IncPRClinical Medical Laboratory$0$913.8K
    Prymed Medical Care IncPRClinical Medical Laboratory$0$817.9K
    Jorge GonzalezPRPsychiatry Physician$5.2K$0

    Nearby Providers

    Other providers in the same ZIP code as Prymed Medical Care, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    P.r. Clinical Reference Laboratory IncPRClinical Medical Laboratory$19.4K$3.7M
    Laboratorio Clinico Del Mar LLCPRClinical Medical Laboratory$24.6K$2.6M
    Vega Baja Imaging LLCPRDiagnostic Radiology Physician$0$2M
    Mini S Steps CspPRSpeech-Language Pathologist$0$1.6M
    Vega Baja Radiology PscPRDiagnostic Radiology Physician$0$1.5M
    Maria Umpierre MarchandPRDentist$0$1.3M
    Prime Family Clinic LLCPRPrimary Care Clinic/Center$0$1.2M
    Laboratorio Clinico Figueroa P S CPRClinical Medical Laboratory$170$826.4K
    Instituto Medico Del Norte IncPRGeneral Acute Care Hospital$0$760K
    Laboratorio Clinico Alturas Inc.PRClinical Medical Laboratory$5.8K$708.1K

    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
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Puerto Rico Distribution
    Prymed Medical Care, Inc — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico