Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › Guayama › NPI 1063058055
Physician

Sola Alicea, Alex

Sola Alicea, Alex was paid $214K by Medicaid between Feb 2021 and Oct 2024, across 9 billing codes. Its largest line is 99284, emergency room visit (serious) — 47% of everything it billed.

33Billing provider infoSOLA ALICEA, ALEX
GUAYAMA, PR 00784
33aNPI1063058055assigned 11/25/2019
28Total paid$214K
24GClaims2,549
24DCodes billed9
24AFirst – last monthFeb 2021 – Oct 2024
Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#107 of 1,195
Median peer was paid$2K
This provider vs. median105×

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$10K$20K$30K2018201920202021202220232024
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
2021183$7K
2022565$42K
2023898$89K
2024incomplete903$76K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 47% 1,089 1,001 $100K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 18% 748 643 $38K
99235 15% 271 197 $33K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 7.2% 127 126 $15K
99220 4.9% 84 83 $11K
99221 3.8% 99 14 $8K
99223 Prolong inpt eval add15 m 2.6% 39 25 $6K
99234 1.4% 32 18 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 60 54 $505.42

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.