Quiles Aponte, Carlos

Quiles Aponte, Carlos was paid $9K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 98% of everything it billed.

33Billing provider infoQUILES APONTE, CARLOS
CAYEY, PR 00736

33aNPI1063480044assigned 03/08/2006

33bProvider typeGeneral Practice Physician

28Total paid$9K

24GClaims15,998

24DCodes billed12

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#422 of 1,195

Median peer was paid$2K

This provider vs. median4.3×

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	288	$0.04
2019	2,968	$199.01
2020	5,800	$153.66
2021	2,472	$64.95
2022	1,315	$0.00
2023	2,001	$8K
2024incomplete	1,154	$69.31

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	98%	9,294	8,493	$9K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.7%	262	242	$153.64
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	804	695	$0.02
1033F		0%	3,094	2,699	$0.00
1159F		0%	1,412	1,255	$0.00
0556F		0%	318	280	$0.00
0513F		0%	533	473	$0.00
1125F		0%	111	89	$0.00
99422		0%	23	22	$0.00
3048F		0%	77	74	$0.00
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	0%	32	31	$0.00
3061F		0%	38	35	$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.