Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Bermudez Caba, Andres

Bermudez Caba, Andres was paid $410K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 56% of everything it billed.

33Billing provider infoBERMUDEZ CABA, ANDRES
COTO LAUREL, PR 00780
33aNPI1164525705assigned 09/07/2006
28Total paid$410K
24GClaims7,348
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pulmonary Disease Physician providers in Puerto Rico

Rank by total paid#5 of 55
Median peer was paid$68K
This provider vs. median6.0×

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$10K$20K2018201920202021202220232024
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
20182,142$50K
20191,145$33K
2020788$66K
20211,206$114K
2022621$81K
2023870$33K
2024incomplete576$33K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 56% 1,656 1,224 $228K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18% 2,642 2,467 $75K
99223 Prolong inpt eval add15 m 16% 1,082 1,008 $65K
94727 5.4% 161 148 $22K
94060 1.7% 272 238 $7K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.4% 233 215 $6K
94729 1.3% 161 148 $5K
99441 <1% 72 61 $2K
94664 <1% 248 242 $898.05
94760 <1% 17 14 $5.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 146 138 $0.00
1159F 0% 180 164 $0.00
8 more codes
3028F 0% 12 $0.00
4025F 0% 47 $0.00
1036F 0% 110 $0.00
3037F 0% 206 $0.00
4140F 0% 52 $0.00
2015F 0% 16 $0.00
1005F 0% 15 $0.00
3035F 0% 20 $0.00

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.