Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Flores, Vimarie

Flores, Vimarie was paid $354K by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is 99284, emergency room visit (serious) — 91% of everything it billed.

33Billing provider infoFLORES, VIMARIE
HUMACAO, PR 00791
33aNPI1124099296assigned 01/27/2006
33bProvider typePediatrics Physician
28Total paid$354K
24GClaims5,720
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Puerto Rico

Rank by total paid#27 of 194
Median peer was paid$7K
This provider vs. median52×

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$50K$100K2018201920202021202220232024
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
2018920$21K
20191,101$24K
2020318$7K
202118$2K
20231,120$104K
2024incomplete2,243$197K
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 91% 5,141 3,622 $324K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 6.1% 370 312 $22K
99221 1.1% 165 151 $4K
99235 <1% 29 27 $3K
99234 <1% 15 12 $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.