Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › Guaynabo › NPI 1154490449
Physician

Lapetina Irizarry, Fernando

Lapetina Irizarry, Fernando was paid $154K by Medicaid between Sep 2022 and Dec 2024, across 6 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 41% of everything it billed.

33Billing provider infoLAPETINA IRIZARRY, FERNANDO
GUAYNABO, PR 00966
33aNPI1154490449assigned 11/08/2006
28Total paid$154K
24GClaims1,648
24DCodes billed6
24AFirst – last monthSep 2022 – Dec 2024
Compared with peers

Next to other Cardiovascular Disease Physician providers in Puerto Rico

Rank by total paid#78 of 174
Median peer was paid$109K
This provider vs. median1.4×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
202279$813.60
2023716$70K
2024incomplete853$83K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 41% 297 280 $63K
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 25% 383 311 $39K
99223 Prolong inpt eval add15 m 17% 164 136 $26K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 9.2% 251 79 $14K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 4.0% 501 297 $6K
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 3.8% 52 52 $6K

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.