Pagan Torres, Pedro

Pagan Torres, Pedro was paid $43K by Medicaid between Jan 2018 and Mar 2022, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.

33Billing provider infoPAGAN TORRES, PEDRO
SAN GERMAN, PR 00683

33aNPI1013134709assigned 04/20/2007

33bProvider typeInternal Medicine Physician

28Total paid$43K

24GClaims1,218

24DCodes billed4

24AFirst – last monthJan 2018 – Mar 2022

Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#174 of 518

Median peer was paid$5K

This provider vs. median8.5×

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	299	$9K
2019	361	$7K
2020	274	$11K
2021	182	$10K
2022	102	$5K

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	75%	913	865	$32K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	13%	167	78	$6K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	8.9%	117	115	$4K
99223	Prolong inpt eval add15 m	2.8%	21	15	$1K

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.