Duran Guzman, Normando

Duran Guzman, Normando was paid $385K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 25% of everything it billed.

33Billing provider infoDURAN GUZMAN, NORMANDO
MAYAGUEZ, PR 00680

33aNPI1134283211assigned 12/21/2006

33bProvider typeSurgery Physician

28Total paid$385K

24GClaims5,510

24DCodes billed9

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Surgery Physician providers in Puerto Rico

Rank by total paid#6 of 111

Median peer was paid$28K

This provider vs. median14×

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	940	$20K
2019	715	$17K
2020	552	$41K
2021	704	$60K
2022	467	$31K
2023	777	$68K
2024incomplete	1,355	$149K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	25%	1,233	1,039	$95K
99223	Prolong inpt eval add15 m	18%	551	349	$71K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	17%	814	711	$65K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	14%	1,142	932	$52K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	11%	731	621	$42K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	9.4%	325	285	$36K
99241		4.2%	576	487	$16K
99221		1.9%	120	118	$7K
99252		<1%	18	15	$565.00

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.