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

Guzman Lugo, Francisco

Guzman Lugo, Francisco was paid $695K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 42% of everything it billed.

33Billing provider infoGUZMAN LUGO, FRANCISCO
SABANA GRANDE, PR 00634
33aNPI1043209414assigned 10/19/2005
28Total paid$695K
24GClaims7,961
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Cardiovascular Disease Physician providers in Puerto Rico

Rank by total paid#26 of 174
Median peer was paid$109K
This provider vs. median6.4×

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$20K$40K$60K2018201920202021202220232024
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
20181,241$97K
2019727$40K
2020726$53K
20211,100$92K
20221,081$74K
20231,732$192K
2024incomplete1,354$147K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 42% 1,149 1,021 $291K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22% 3,640 3,080 $152K
93015 7.3% 422 379 $51K
93224 6.8% 384 337 $47K
93460 5.9% 47 37 $41K
93458 5.0% 29 29 $35K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.1% 504 455 $28K
93000 3.1% 1,193 1,016 $22K
99443 1.7% 291 275 $12K
93567 1.5% 260 207 $11K
99223 Prolong inpt eval add15 m <1% 42 27 $6K

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.