Physician
Lamela, Ethel
Lamela, Ethel was paid $34K by Medicaid between Apr 2018 and Aug 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoLAMELA, ETHEL
ISABELA, PR 00662
ISABELA, PR 00662
33aNPI1023021573assigned 08/15/2006
33bProvider typePediatrics Physician
28Total paid$34K
24GClaims21,167
24DCodes billed20
24AFirst – last monthApr 2018 – Aug 2024
Compared with peers
Next to other Pediatrics Physician providers in Puerto Rico
Rank by total paid#67 of 194
Median peer was paid$7K
This provider vs. median5.0×
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
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 | 131 | $2K | |
| 2019 | 234 | $5K | |
| 2021 | 7,540 | $8K | |
| 2022 | 6,103 | $7K | |
| 2023 | 6,844 | $5K | |
| 2024incomplete | 315 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 48% | 3,049 | 2,692 | $16K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 3,682 | 3,038 | $14K |
| 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 | 4.5% | 104 | 93 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.8% | 1,070 | 819 | $955.07 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 2.4% | 1,157 | 1,053 | $823.56 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 176 | 173 | $47.38 |
| 92551 | <1% | 1,562 | 1,470 | $12.00 | |
| 99173 | <1% | 967 | 903 | $2.51 | |
| 3008F | 0% | 6,181 | 5,315 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 620 | 585 | $0.00 |
| 1126F | 0% | 571 | 545 | $0.00 | |
| 99384 | 0% | 66 | 62 | $0.00 |
8 more codes
| 99383 | 0% | 45 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 464 | $0.00 |
| 1160F | 0% | 475 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 25 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 454 | $0.00 |
| 1159F | 0% | 475 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 12 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 12 | $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.