Diaz Hernandez, Antonio

Diaz Hernandez, Antonio was paid $166K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.

33Billing provider infoDIAZ HERNANDEZ, ANTONIO
SAN JUAN, PR 00907

33aNPI1003016775assigned 07/20/2007

33bProvider typeInternal Medicine Physician

28Total paid$166K

24GClaims2,178

24DCodes billed8

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#91 of 518

Median peer was paid$5K

This provider vs. median33×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	430	$33K
2019	222	$17K
2020	327	$27K
2021	366	$26K
2022	213	$13K
2023	286	$26K
2024incomplete	334	$24K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	35%	971	737	$58K
90961		35%	472	459	$57K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	17%	420	236	$28K
99223	Prolong inpt eval add15 m	7.0%	121	118	$12K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	2.8%	122	118	$5K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.9%	27	13	$3K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.3%	32	31	$2K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	<1%	13	13	$355.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.