Pedraza Gonzalez, Carlos
Pedraza Gonzalez, Carlos was paid $177K by Medicaid between Oct 2021 and Oct 2024, across 6 billing codes. Its largest line is 99284, emergency room visit (serious) — 50% of everything it billed.
33Billing provider infoPEDRAZA GONZALEZ, CARLOS
AGUADILLA, PR 00603
AGUADILLA, PR 00603
33aNPI1164918223assigned 07/02/2018
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$177K
24GClaims2,243
24DCodes billed6
24AFirst – last monthOct 2021 – Oct 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Puerto Rico
Rank by total paid#19 of 77
Median peer was paid$39K
This provider vs. median4.6×
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 | |
|---|---|---|---|
| 2021 | 122 | $14K | |
| 2022 | 628 | $48K | |
| 2023 | 875 | $71K | |
| 2024incomplete | 618 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 50% | 1,138 | 896 | $89K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 25% | 569 | 490 | $45K |
| 99235 | 17% | 242 | 222 | $30K | |
| 99236 | Prolong inpt eval add15 m | 3.9% | 45 | 45 | $7K |
| 99234 | 2.5% | 46 | 30 | $4K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 203 | 194 | $2K |
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.