Lugo Morales, Fausto

Lugo Morales, Fausto was paid $168K by Medicaid between Mar 2021 and Dec 2024, across 10 billing codes. Its largest line is 99234, — 48% of everything it billed.

33Billing provider infoLUGO MORALES, FAUSTO
DORADO, PR 00646

33aNPI1093292195assigned 07/23/2018

33bProvider typeGeneral Practice Physician

28Total paid$168K

24GClaims2,278

24DCodes billed10

24AFirst – last monthMar 2021 – Dec 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#136 of 1,195

Median peer was paid$2K

This provider vs. median82×

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
2021	539	$30K
2022	94	$8K
2023	400	$27K
2024incomplete	1,245	$102K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99234		48%	893	468	$81K
99235		31%	443	349	$51K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	12%	232	136	$20K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	4.9%	150	64	$8K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.4%	44	26	$2K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	1.3%	120	81	$2K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	216	136	$1K
96360	Intravenous infusion, hydration; initial, 31 minutes to 1 hour	<1%	73	44	$674.28
76140		<1%	67	43	$356.10
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	40	16	$243.32

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.