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

Em Mario Canales Torresola

Em Mario Canales Torresola was paid $7K by Medicaid between Apr 2018 and Oct 2020, across 5 billing codes. Its largest line is 99051, — 50% of everything it billed.

33Billing provider infoEM MARIO CANALES TORRESOLA
JAYUYA, PR 00664
33aNPI1043763626assigned 07/29/2016
28Total paid$7K
24GClaims378
24DCodes billed5
24AFirst – last monthApr 2018 – Oct 2020
Compared with peers

Next to other Diagnostic Radiology Physician providers in Puerto Rico

Rank by total paid#51 of 64
Median peer was paid$131K
This provider vs. median0.1×

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$500$1.0K$1.5K2018201920202021202220232024
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
2018143$1K
2019152$2K
202083$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99051 50% 66 63 $3K
99282 Emergency department visit for the evaluation and management, low to moderate severity 48% 231 219 $3K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 1.9% 13 13 $130.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 0% 53 50 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 0% 15 15 $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.

From NPPES

Who's on the registration

Authorized officialMORALES, JOHANNA (ADMINISTRATOR)