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

Boria, Fausto

Boria, Fausto was paid $319K by Medicaid between Jan 2018 and Jun 2024, across 7 billing codes. Its largest line is 97032, — 42% of everything it billed.

33Billing provider infoBORIA, FAUSTO
GURABO, PR 00778
33aNPI1033175815assigned 04/21/2006
28Total paid$319K
24GClaims13,996
24DCodes billed7
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers

Next to other Physical Medicine & Rehabilitation Physician providers in Puerto Rico

Rank by total paid#25 of 88
Median peer was paid$135K
This provider vs. median2.4×

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$5.0K$10K2018201920202021202220232024
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
20183,281$52K
20191,600$34K
20202,390$56K
20212,668$72K
20221,477$44K
20231,764$42K
2024incomplete816$20K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97032 42% 7,653 2,105 $134K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21% 1,804 1,586 $66K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 18% 1,160 1,095 $58K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 9.7% 1,594 463 $31K
97035 5.3% 1,041 333 $17K
97124 4.0% 729 228 $13K
99442 <1% 15 13 $539.47

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.