Physician
Suarez Almedina, Luis
Suarez Almedina, Luis was paid $1.09M by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 49% of everything it billed.
33Billing provider infoSUAREZ ALMEDINA, LUIS
CAYEY, PR 00736
CAYEY, PR 00736
33aNPI1144234915assigned 07/28/2006
33bProvider typePediatrics Physician
28Total paid$1.09M
24GClaims16,457
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Puerto Rico
Rank by total paid#9 of 194
Median peer was paid$7K
This provider vs. median162×
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 | 2,302 | $60K | |
| 2019 | 2,005 | $50K | |
| 2020 | 899 | $31K | |
| 2021 | 1,409 | $65K | |
| 2022 | 2,142 | $104K | |
| 2023 | 2,758 | $225K | |
| 2024incomplete | 4,942 | $557K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 49% | 5,274 | 779 | $531K |
| 99223 | Prolong inpt eval add15 m | 17% | 1,164 | 662 | $188K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 17% | 4,937 | 1,692 | $181K |
| 99222 | Initial hospital care, per day, moderate complexity | 7.0% | 1,653 | 1,532 | $76K |
| 99462 | 4.2% | 1,615 | 538 | $45K | |
| 99460 | 3.4% | 585 | 439 | $37K | |
| 99251 | 2.5% | 895 | 838 | $27K | |
| 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 | <1% | 172 | 150 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 144 | 119 | $1K |
| 96160 | <1% | 18 | 12 | $13.95 |
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.