Cerra-Franco, Javier

Cerra-Franco, Javier was paid $120K by Medicaid between Sep 2021 and May 2024, across 5 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 44% of everything it billed.

33Billing provider infoCERRA-FRANCO, JAVIER
SAN JUAN, PR 00927

33aNPI1134487945assigned 04/30/2012

33bProvider typeGastroenterology Physician

28Total paid$120K

24GClaims1,372

24DCodes billed5

24AFirst – last monthSep 2021 – May 2024

Compared with peers

Next to other Gastroenterology Physician providers in Puerto Rico

Rank by total paid#48 of 107

Median peer was paid$47K

This provider vs. median2.6×

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
2021	133	$15K
2022	594	$46K
2023	600	$56K
2024incomplete	45	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	44%	650	607	$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	30%	563	544	$36K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	13%	54	49	$15K
99223	Prolong inpt eval add15 m	11%	92	83	$13K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	2.3%	13	12	$3K

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.