Payer Overview

FIRST MEDICAL HLTH PLAN INC operates as a concentrated specialty payer with limited national footprint but meaningful exposure in U.S. territories. Nationally, the organization reports a US market rank of the #0 position among A&H payers, with $0 in US premium and a US market share of 0%, and its reported domestic footprint covers 0 states. The company reports an Estimated Total Members value of N/A and operates through 0 affiliated subsidiaries.

Beyond the continental United States, FIRST MEDICAL HLTH PLAN INC maintains a substantive presence in U.S. territories, writing $1.68B across 1 territory (Puerto Rico). This territorial concentration highlights a payer that is focused outside the 50 states rather than across the contiguous U.S. and signals specialized contracting dynamics in that territory.

Premium by Scope

FIRST MEDICAL HLTH PLAN INC derives its premium entirely from U.S. territories, with $1.68B written in Puerto Rico and no recorded premium in the 50 states + DC. This concentration means the payer’s revenues, network contracting leverage, and care management programs are likely calibrated to territory-specific regulations and provider markets rather than broad national negotiation strategies.

For a provider evaluating this payer, the implication is clear: contracting and reimbursement discussions should be focused on territorial operations and local market dynamics in Puerto Rico rather than national network strategies.

FIRST MEDICAL HLTH PLAN INC has no reported market share, premium written, or estimated members across the 50 U.S. states. All reported activity is in U.S. territories, so there is no continental U.S. concentration to analyze. Providers operating in the 50 states should treat this payer as non-participating for state-level contracting unless local data indicates otherwise.

Because the payer’s recorded premium is concentrated in territories, national contracting teams will find limited leverage or need for multi-state network agreements: negotiations and network design should instead prioritize territory-specific provider relationships and regulatory considerations.

State-by-State Market Position

FIRST MEDICAL HLTH PLAN INC does not report measurable presence in the Northeast, Southeast, Midwest, West, or Southwest regions of the 50 states. There are no top-ranked states in the continental U.S., and no regional clusters to inform multi-state strategies. For multi-state provider groups, this distribution (or absence thereof) means that inclusion of FIRST MEDICAL HLTH PLAN INC in a national network will have negligible impact on in-state volumes or reimbursement across the 50 states.

The payer’s footprint is effectively territorial rather than state-based within the U.S., so multi-state provider groups should not expect material patient flow from this payer across the continental U.S. Any engagement should be routed through territory-specific channels and focused on Puerto Rico where the payer writes premium.

Estimated Member Demographics

Data not available.

No age band or member count data is available for FIRST MEDICAL HLTH PLAN INC. As a result, it is not possible to interpret the demographic profile or identify which age bands are largest nationally, nor to assess whether any state skews older or younger.

Estimated Members by State

Data not available.

No state-level member count data is available for FIRST MEDICAL HLTH PLAN INC. This prevents analysis of geographic distribution, identification of states with the most members, or assessment of how member concentration aligns with market share rank.