Physician
Falto Detres, Pedro
Falto Detres, Pedro was paid $166.00 by Medicaid between Jan 2018 and Jul 2018, across 11 billing codes. Its largest line is 1158F, — 82% of everything it billed.
33Billing provider infoFALTO DETRES, PEDRO
AGUADILLA, PR 00603
AGUADILLA, PR 00603
33aNPI1194796433assigned 01/26/2006
33bProvider typeInternal Medicine Physician
28Total paid$166.00
24GClaims865
24DCodes billed11
24AFirst – last monthJan 2018 – Jul 2018
Compared with peers
Next to other Internal Medicine Physician providers in Puerto Rico
Rank by total paid#397 of 518
Median peer was paid$5K
This provider vs. median0.0×
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
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 | 865 | $166.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 1158F | 82% | 58 | 52 | $136.00 | |
| 3078F | 18% | 49 | 42 | $30.00 | |
| 1160F | 0% | 59 | 53 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 307 | 235 | $0.00 |
| 1159F | 0% | 60 | 53 | $0.00 | |
| 0521F | 0% | 13 | 12 | $0.00 | |
| 3008F | 0% | 14 | 13 | $0.00 | |
| 1170F | 0% | 58 | 52 | $0.00 | |
| 3061F | 0% | 14 | 14 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 221 | 194 | $0.00 |
| 3074F | 0% | 12 | 12 | $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.