Colton, Pedro

Colton, Pedro was paid $126K by Medicaid between Jan 2018 and Jul 2024, across 8 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 42% of everything it billed.

33Billing provider infoCOLTON, PEDRO
SAN JUAN, PR 00909

33aNPI1104001270assigned 01/08/2008

33bProvider typeNephrology Physician

28Total paid$126K

24GClaims1,959

24DCodes billed8

24AFirst – last monthJan 2018 – Jul 2024

Compared with peers

Next to other Nephrology Physician providers in Puerto Rico

Rank by total paid#29 of 81

Median peer was paid$66K

This provider vs. median1.9×

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	333	$5K
2019	129	$4K
2020	437	$27K
2021	767	$61K
2022	45	$4K
2023	29	$1K
2024incomplete	219	$25K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	42%	586	267	$53K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	345	343	$18K
99222	Initial hospital care, per day, moderate complexity	14%	177	168	$17K
99223	Prolong inpt eval add15 m	13%	134	114	$16K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	12%	305	136	$15K
99231	Subsequent hospital care, per day, straightforward or low complexity	3.4%	318	99	$4K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.1%	33	33	$1K
99221		1.1%	61	61	$1K

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.