Physician
Medina Aviles, Luis
Medina Aviles, Luis was paid $25K by Medicaid between Jan 2018 and Jan 2021, across 11 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 51% of everything it billed.
33Billing provider infoMEDINA AVILES, LUIS
ARECIBO, PR 00616
ARECIBO, PR 00616
33aNPI1124174214assigned 01/25/2007
33bProvider typeFamily Medicine Physician
28Total paid$25K
24GClaims1,028
24DCodes billed11
24AFirst – last monthJan 2018 – Jan 2021
Compared with peers
Next to other Family Medicine Physician providers in Puerto Rico
Rank by total paid#38 of 160
Median peer was paid$1K
This provider vs. median22×
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 | 409 | $10K | |
| 2019 | 383 | $9K | |
| 2020 | 206 | $4K | |
| 2021 | 30 | $1K |
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 | 51% | 246 | 235 | $13K |
| 99223 | Prolong inpt eval add15 m | 16% | 223 | 214 | $4K |
| 99238 | Hospital discharge day management, 30 minutes or less | 15% | 226 | 217 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 95 | 81 | $3K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 3.6% | 136 | 130 | $898.26 |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 1.5% | 35 | 35 | $385.00 |
| 1158F | <1% | 14 | 13 | $7.84 | |
| 1157F | <1% | 14 | 13 | $7.84 | |
| 1160F | 0% | 13 | 12 | $0.00 | |
| 1159F | 0% | 13 | 12 | $0.00 | |
| 3008F | 0% | 13 | 12 | $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.