Figueroa, Felix

Figueroa, Felix was paid $55K by Medicaid between Jan 2018 and Sep 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.

33Billing provider infoFIGUEROA, FELIX
CAGUAS, PR 00727

33aNPI1144245689assigned 07/13/2006

33bProvider typeSurgery Physician

28Total paid$55K

24GClaims1,671

24DCodes billed8

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Surgery Physician providers in Puerto Rico

Rank by total paid#42 of 111

Median peer was paid$28K

This provider vs. median1.9×

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	358	$7K
2019	192	$2K
2020	27	$422.11
2021	213	$11K
2022	245	$12K
2023	220	$6K
2024incomplete	416	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	35%	404	362	$19K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	22%	160	107	$12K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	21%	775	680	$12K
99255		11%	169	139	$6K
99231	Subsequent hospital care, per day, straightforward or low complexity	4.4%	70	48	$2K
99221		3.6%	63	59	$2K
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	3.0%	17	12	$2K
49084		<1%	13	13	$25.28

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.