Lugo, Lionel
Lugo, Lionel was paid $836K by Medicaid between Jan 2018 and May 2022, across 14 billing codes. Its largest line is 92511, — 33% of everything it billed.
33Billing provider infoLUGO, LIONEL
PONCE, PR 00731
PONCE, PR 00731
33aNPI1164423828assigned 08/03/2005
33bProvider typeSpecialist
28Total paid$836K
24GClaims14,722
24DCodes billed14
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other Specialist providers in Puerto Rico
Rank by total paid#26 of 316
Median peer was paid$26K
This provider vs. median33×
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 | 4,111 | $153K | |
| 2019 | 5,280 | $302K | |
| 2020 | 2,863 | $221K | |
| 2021 | 2,187 | $144K | |
| 2022 | 281 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92511 | 33% | 2,991 | 2,656 | $272K | |
| 31233 | 26% | 1,440 | 1,272 | $215K | |
| 92557 | 8.7% | 2,322 | 2,045 | $72K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.3% | 2,605 | 2,305 | $70K |
| 31231 | 7.5% | 599 | 543 | $62K | |
| 99243 | 6.4% | 1,464 | 1,421 | $53K | |
| 69450 | 5.7% | 69 | 61 | $48K | |
| 92567 | 4.5% | 3,006 | 2,654 | $38K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 117 | 104 | $2K |
| 99201 | <1% | 34 | 34 | $789.26 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 29 | 29 | $731.16 |
| 31505 | <1% | 13 | 13 | $721.09 |
2 more codes
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.