Encarnacion Concepcion, Eduardo

Encarnacion Concepcion, Eduardo was paid $188K by Medicaid between Jan 2019 and Sep 2024, across 1 billing code. Its largest line is 99283, emergency room visit (moderate) — 100% of everything it billed.

33Billing provider infoENCARNACION CONCEPCION, EDUARDO
SAN SEBASTIAN, PR 00685

33aNPI1063449379assigned 06/26/2006

33bProvider typeGeneral Practice Physician

28Total paid$188K

24GClaims4,446

24DCodes billed1

24AFirst – last monthJan 2019 – Sep 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#123 of 1,195

Median peer was paid$2K

This provider vs. median92×

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
2019	738	$12K
2020	631	$24K
2021	971	$43K
2022	530	$25K
2023	1,020	$54K
2024incomplete	556	$30K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	100%	4,446	3,920	$188K

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.