Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Sosa, Carlos

Sosa, Carlos was paid $18K by Medicaid between Sep 2018 and Mar 2020, across 1 billing code. Its largest line is 99284, emergency room visit (serious) — 100% of everything it billed.

33Billing provider infoSOSA, CARLOS
GUAYNABO, PR 00966
33aNPI1013005974assigned 10/10/2006
28Total paid$18K
24GClaims1,170
24DCodes billed1
24AFirst – last monthSep 2018 – Mar 2020
Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#352 of 1,195
Median peer was paid$2K
This provider vs. median9.0×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
2018201$3K
2019777$12K
2020192$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 100% 1,170 1,139 $18K

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.