Vidal Cabanas, Efrain

Vidal Cabanas, Efrain was paid $15K by Medicaid between Jan 2018 and Sep 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.

33Billing provider infoVIDAL CABANAS, EFRAIN
HORMIGUEROS, PR 00660

33aNPI1053385831assigned 02/16/2006

33bProvider typeSurgery Physician

28Total paid$15K

24GClaims342

24DCodes billed4

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Surgery Physician providers in Puerto Rico

Rank by total paid#64 of 111

Median peer was paid$28K

This provider vs. median0.5×

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	174	$2K
2020	59	$4K
2021	20	$1K
2023	47	$4K
2024incomplete	42	$4K

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	66%	202	166	$10K
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	22%	48	40	$3K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	6.6%	45	39	$987.62
99242		5.8%	47	30	$875.00

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.