Caribe Physicians Plaza Corporation is a 54-bed hospital in Rio Grande, PR. Below you'll find publicly disclosed negotiated rates and facility details, including 4 in-network payers and 21 disclosed rate categories.
Disproportionate share hospital
CCN
400131
NPI
1215051404
Teaching
No Medicare-funded residents
County
Fajardo Municipio
Metro area
San Juan-Bayamon-Caguas, PR MSA
Medicare contractor
Jurisdiction N, First Coast Service Options (09001)
In Medicare since
2010
Last CMS survey
2010
Negotiated Rates
The data below comes from CMS-mandated price transparency data. Learn more.
Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.
The employer identification numbers (EINs) health plans and networks list for Caribe Physicians Plaza Corporation in the in-network rate files they publish, with the organization NPIs billed under each.
Tax ID (EIN)
Plans and networks listing it
Organization NPIs
66-0559417Caribe Physicians Plaza Corporation Dba Caribbean Medical Center
11Triple-S Salud, Ameri Health, Asuris Northwest Health, BCBS, Imagine360 and 6 more
1225429533 Centro De Diagnostico Y Tratamiento De Rio Grande1215051404 Caribe Physicians Plaza Corporation1639908643 Laboratorio Clinico Y De Ref De Fajardo Inc
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
What Caribe Physicians Plaza Corporation reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
3,339
Inpatient discharges
Medicare 5%, Medicaid 44%
16,927
Inpatient days
86% of available bed days used
225
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 835574). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Utilization by payer and unit
Inpatient days and discharges Caribe Physicians Plaza Corporation reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
Medicare
Medicaid
Other
Total
Inpatient days
1,362
7,556
8,009
16,927
Discharges
174
1,476
1,689
3,339
Average length of stay
7.8 days
5.1 days
4.7 days
5.1 days
Average daily census
3.7
20.7
21.9
46.4
7,874
Medicare Advantage days
1,118 discharges
Beds and days by unit
Unit
Beds
Inpatient days
Medicare days
Occupancy
Adults & pediatrics
50
16,333
1,259
89%
Intensive care unit
4
518
103
35%
Nursery
76
Source: CMS cost report (HCRIS, Form 2552-10), report 835574, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
Where patients come from
ZIP codes with the most Medicare inpatient stays at Caribe Physicians Plaza Corporation in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 758 in 2020 to 1,197 in 2025.
ZIP code
Stays
Of this hospital's stays
Days
Charges
Market share
Share in 2020
00738
423
35%
2,896
$4.3M
45%
29%
00745
190
16%
1,479
$2.1M
13%
14%
00735
174
15%
1,201
$2M
64%
43%
00773
172
14%
1,137
$1.6M
34%
27%
00765
97
8%
801
$1.1M
62%
43%
00718
52
4%
395
$580,352
12%
8%
00740
36
3%
263
$366,715
100%
34%
00721
15
1%
94
$183,921
19%
24%
00729
15
1%
124
$164,940
1%
1%
00775
12
1%
100
$145,154
100%
00791
11
1%
53
$76,128
1%
Source: CMS Hospital Service Area file. Shares are of the 1,197 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff and facilities
Staff by profession and the rooms and units Caribe Physicians Plaza Corporation reported at its latest Medicare certification survey (2010). Counts are people, not full-time equivalents.
32 clinicians who bill Medicare list Caribe Physicians Plaza Corporation as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
General Practice Physician 10
Internal Medicine Physician 5
Diagnostic Radiology Physician 3
Nephrology Physician 3
Surgery Physician 3
Anesthesiology Physician 1
Family Medicine Physician 1
General Acute Care Hospital 1
Geriatric Medicine (Internal Medicine) Physician 1
Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Income statement
Revenue, expenses and income Caribe Physicians Plaza Corporation reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
Line
Amount
Share
Gross patient revenue (charges)
$48.2M
165.2%
Inpatient
$29.5M
101.0%
Outpatient
$18.7M
64.2%
Contractual allowances and discounts
-$19M
-65.2%
Net patient revenue
$29.2M
100.0%
Operating expenses
-$27.6M
-94.5%
Operating income from patient care
$1.6M
5.5%
Other income
$730,744
2.5%
Investment income
$518,028
1.8%
Other
$212,716
0.7%
Net income
$2.3M
8.0%
Gross revenue by payer
Line
Amount
Share
Traditional Medicare
$887,540
2.4%
Other payers and self-pay
$36.7M
97.6%
Total charges
$37.6M
100.0%
Source: CMS cost report (HCRIS, Form 2552-10), report 835574, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Financial ratios
Computed from Caribe Physicians Plaza Corporation's latest cost report.
5.5%
Operating margin
Operating income from patient care / net patient revenue
7.8%
Total margin
Net income / net patient revenue plus other income
12.9%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
Adjusted salaries / paid hours (Worksheet S-3 Part II)
4.5%
Return on assets
Net income for a year / total assets
7.7%
Return on equity
Net income for a year / fund balance
1.75
Current ratio
Current assets / current liabilities
1.45
Quick ratio
Cash, temporary investments and net receivables / current liabilities
219 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
190 days
Days in patient receivables
Net patient receivables / daily net patient revenue
297 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.58
Asset turnover
Total revenue for a year / total assets
11.7 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 835574, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Balance sheet
What Caribe Physicians Plaza Corporation owned and owed at the end of its reporting period (Dec 2025), across all fund types: $51.7M in total assets and a $30.3M fund balance.
Show the balance sheetHide the balance sheet
Line
Amount
Of total assets
Cash and temporary investments
$15.8M
30.6%
Patient receivables, net
$15.2M
29.3%
Inventory
$278,419
0.5%
Total current assets
$37.3M
72.2%
Property and equipment, net of depreciation
$10.9M
21.0%
Investments and other assets
$3.5M
6.8%
Total assets
$51.7M
100.0%
Current liabilities
$21.4M
41.3%
Total liabilities
$21.4M
41.3%
Fund balance (net assets)
$30.3M
58.7%
Source: CMS cost report (HCRIS, Form 2552-10), report 835574, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Charity care and uncompensated care
Care Caribe Physicians Plaza Corporation provided without full payment, as reported on Worksheet S-10 of its cost report.
$1.9M
Bad debt
Patient bills written off as uncollectible, at charges
-$1.9M
State and local indigent care shortfall
Cost of indigent care program patients minus program payments
$886,262
Total unreimbursed and uncompensated care
3.2% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 835574, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Financial trend
Caribe Physicians Plaza Corporation's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
Show 6 yearsHide 6 years
Fiscal year ending
Dec 2020
Dec 2021
Dec 2022
Dec 2023
Dec 2024
Dec 2025
Net patient revenue
$18.9M
$21.1M
$24.8M
$28.2M
$30.5M
$29.2M
Operating expenses
$17.9M
$22.7M
$25M
$25.1M
$27.2M
$27.6M
Operating margin
5.4%
-7.8%
-0.6%
11.0%
10.7%
5.5%
Net income
$5.6M
$4.3M
$2.2M
$5.3M
$4.2M
$2.3M
Total assets
$33.9M
$40.3M
$44.2M
$49.3M
$53.9M
$51.7M
Discharges
2,650
3,419
3,002
2,887
3,526
3,339
Inpatient days
12,735
15,973
15,298
15,865
15,289
16,927
Medicare Advantage days
4,042
4,607
5,505
6,118
7,561
7,874
Beds
42
44
44
52
44
54
Employees (FTE)
218
234
220
221
230
225
Source: CMS cost report (HCRIS, Form 2552-10), report 835574, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Departments
Each cost center Caribe Physicians Plaza Corporation reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
Show all 20 departmentsHide all 20 departments
Ancillary and outpatient departments
Department
Salaries
Total cost
Charges
Cost-to-charge
Square feet
Emergency
$972,069
$3.3M
$4.5M
0.74
7,619
Medical supplies charged to patient
$96,049
$2.5M
$1.8M
1.38
Radiology-diagnostic
$667,092
$1.8M
$5M
0.36
1,128
Laboratory
$251,949
$1.5M
$5.5M
0.27
345
Drugs charged to patients
$46,166
$1.4M
$3.5M
0.42
180
Operating room
$372,342
$968,346
$1.4M
0.69
752
Respiratory therapy
$895,444
$315,583
2.84
Delivery room & labor room
$280,483
$457,013
$19,350
23.62
300
Impl. dev. charged to patients
$56,269
$79,650
0.71
Inpatient units
Department
Salaries
Total cost
Charges
Cost-to-charge
Square feet
Adults & pediatrics
$911,047
$4.5M
$14.9M
0.30
10,082
Intensive care unit
$322,685
$804,945
$756,900
1.06
1,462
Nursery
$44,690
$3,680
12.14
170
Overhead (general service) departments
Department
Salaries
Direct cost
Paid hours
Average hourly wage
Square feet
Administrative & general
$2.3M
$4.3M
142,450
$16.34
2,751
Operation of plant
$256,426
$1.3M
11,638
$22.03
Cap rel costs-mvble equip
$943,187
Medical records & library
$614,612
$778,370
36,929
$16.64
Cap rel costs-bldg & fixt
$565,831
24,789
Dietary
$185,928
$514,879
16,748
$11.10
Housekeeping
$370,941
$504,172
32,544
$11.40
Social service
$33,994
$45,196
2,200
$15.45
Source: CMS cost report (HCRIS, Form 2552-10), report 835574, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
Medicare payment profile
The factors Medicare uses to set what it pays Caribe Physicians Plaza Corporation for an inpatient stay.
1.40
Case mix index
Higher than 18% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
54.5%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
148
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
Show FY 2021 to FY 2027Hide FY 2021 to FY 2027
IPPS fiscal year
FY 2021
FY 2022
FY 2023
FY 2024
FY 2025
FY 2026
FY 2027
Case mix index
1.08
1.06
1.34
1.23
1.26
1.29
1.40
Wage index
0.624
0.616
0.614
0.613
0.583
0.554
0.526
Medicare inpatient stays
183
183
175
177
159
149
148
Source: CMS IPPS final rule Impact File (FY 2027).
Ownership
Organizations Caribe Physicians Plaza Corporation reports to Medicare as owners or with operational control. 2 individuals also hold ownership interests; they are not listed here.
Caribe Physicians Plaza Corporation
5% or greater direct ownership interest, 100%, since 1997
Laboratorio Clinico Y Referencia De Fajardo Inc
5% or greater direct ownership interest, 13.4%, since 2006
About Caribe Physicians Plaza Corporation's rates and hospital price transparency.
Is Caribe Physicians Plaza Corporation a teaching hospital?
CMS reports no Medicare-funded interns or residents at Caribe Physicians Plaza Corporation for fiscal year 2027.
What is Caribe Physicians Plaza Corporation's case mix index?
Caribe Physicians Plaza Corporation's Medicare case mix index is 1.40 for fiscal year 2027, higher than 18% of hospitals paid under the inpatient prospective payment system.
How many patients does Caribe Physicians Plaza Corporation admit?
Caribe Physicians Plaza Corporation reported 3,339 inpatient discharges and 16,927 inpatient days from Jan 1, 2025 to Dec 31, 2025.
How many employees does Caribe Physicians Plaza Corporation have?
Caribe Physicians Plaza Corporation reported 225 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
How much revenue does Caribe Physicians Plaza Corporation make?
Caribe Physicians Plaza Corporation reported $29.2M in net patient revenue on $48.2M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 5.5%, and net income of $2.3M.
How much charity and uncompensated care does Caribe Physicians Plaza Corporation provide?
Caribe Physicians Plaza Corporation reported $886,262 of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025.
What is Caribe Physicians Plaza Corporation's tax ID (EIN)?
Insurers' price transparency files list Caribe Physicians Plaza Corporation under employer identification number 66-0559417 (Caribe Physicians Plaza Corporation Dba Caribbean Medical Center). 11 health plans and networks list 66-0559417 for it.
How many doctors are affiliated with Caribe Physicians Plaza Corporation?
32 clinicians who bill Medicare list Caribe Physicians Plaza Corporation as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are general practice physician (10), internal medicine physician (5), diagnostic radiology physician (3).
Is Caribe Physicians Plaza Corporation accredited?
CMS's Provider of Services file lists no accrediting organization for Caribe Physicians Plaza Corporation; it is certified for Medicare through state survey.
Who owns Caribe Physicians Plaza Corporation?
In its Medicare enrollment, Caribe Physicians Plaza Corporation reports Caribe Physicians Plaza Corporation as 5% or greater direct ownership interest (100%).
Where do Caribe Physicians Plaza Corporation's patients come from?
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Caribe Physicians Plaza Corporation came from ZIP codes 00738 (423), 00745 (190), 00735 (174).
How many beds does Caribe Physicians Plaza Corporation have?
Caribe Physicians Plaza Corporation has 54 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 25 are Medicare-certified beds in CMS's Provider of Services file.
Where is Caribe Physicians Plaza Corporation and what is its phone number?
Caribe Physicians Plaza Corporation is located at Rio Grande, PR.
What is Caribe Physicians Plaza Corporation's CCN (Medicare provider number)?
Caribe Physicians Plaza Corporation's CMS Certification Number (CCN), also called its Medicare provider number, is 400131.
What is Caribe Physicians Plaza Corporation's NPI number?
The National Provider Identifier (NPI) on file for Caribe Physicians Plaza Corporation is 1215051404.
Which insurance plans are in network at Caribe Physicians Plaza Corporation?
Caribe Physicians Plaza Corporation lists 4 in-network payers, including BCBS, Kaiser Permanente, Sentara Health Plans (Optima Health), Triple-S Salud, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
What price transparency data is available for Caribe Physicians Plaza Corporation?
21 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
What is a hospital price transparency MRF?
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
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A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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