Physician
Morales, Omar
Morales, Omar was paid $452K by Medicaid between Feb 2018 and Oct 2024, across 11 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 52% of everything it billed.
33Billing provider infoMORALES, OMAR
MANATI, PR 00674
MANATI, PR 00674
33aNPI1013974989assigned 04/26/2006
33bProvider typeFamily Medicine Physician
28Total paid$452K
24GClaims10,380
24DCodes billed11
24AFirst – last monthFeb 2018 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in Puerto Rico
Rank by total paid#6 of 160
Median peer was paid$1K
This provider vs. median398×
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 | 1,553 | $9K | |
| 2019 | 1,599 | $17K | |
| 2020 | 1,192 | $22K | |
| 2021 | 1,340 | $35K | |
| 2022 | 889 | $38K | |
| 2023 | 1,483 | $101K | |
| 2024incomplete | 2,324 | $229K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 52% | 3,918 | 2,143 | $235K |
| 99223 | Prolong inpt eval add15 m | 33% | 2,113 | 1,761 | $147K |
| 99238 | Hospital discharge day management, 30 minutes or less | 11% | 2,177 | 1,830 | $49K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.4% | 1,036 | 898 | $6K |
| 99243 | <1% | 207 | 188 | $5K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 383 | 311 | $3K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 101 | 49 | $2K |
| 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% | 68 | 65 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 297 | 275 | $1K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 16 | 16 | $400.00 |
| 71045 | Radiologic examination, chest; single view | 0% | 64 | 52 | $0.00 |
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.