Mercado, Abner

Mercado, Abner was paid $1.02M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 99284, emergency room visit (serious) — 51% of everything it billed.

33Billing provider infoMERCADO, ABNER
NAGUABO, PR 00718

33aNPI1134132350assigned 08/15/2006

33bProvider typeGeneral Practice Physician

28Total paid$1.02M

24GClaims12,338

24DCodes billed12

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#9 of 1,195

Median peer was paid$2K

This provider vs. median499×

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	675	$12K
2019	1,216	$46K
2020	736	$59K
2021	1,224	$114K
2022	2,192	$235K
2023	2,502	$241K
2024incomplete	3,793	$314K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	51%	7,489	5,373	$517K
99236	Prolong inpt eval add15 m	15%	1,038	1,012	$152K
99235		14%	1,050	874	$138K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	8.2%	984	367	$84K
99220		7.0%	572	523	$72K
99234		4.1%	438	363	$42K
99218		<1%	168	167	$6K
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	301	287	$4K
99219		<1%	40	30	$4K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	<1%	145	135	$950.42
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	87	79	$879.12
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	26	24	$290.00

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.