Physician
Guadalupe, Ruben
Guadalupe, Ruben was paid $891K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoGUADALUPE, RUBEN
HUMACAO, PR 00791
HUMACAO, PR 00791
33aNPI1194820993assigned 09/14/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$891K
24GClaims28,811
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Puerto Rico
Rank by total paid#7 of 185
Median peer was paid$53K
This provider vs. median17×
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 | 3,101 | $49K | |
| 2019 | 3,527 | $51K | |
| 2020 | 4,593 | $98K | |
| 2021 | 4,958 | $137K | |
| 2022 | 2,454 | $102K | |
| 2023 | 2,451 | $116K | |
| 2024incomplete | 7,727 | $338K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 43% | 8,756 | 5,714 | $386K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14% | 2,685 | 2,250 | $121K |
| 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 | 12% | 1,499 | 1,250 | $106K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 10% | 3,880 | 3,156 | $89K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 8.3% | 4,381 | 3,724 | $74K |
| 99070 | 4.5% | 1,655 | 911 | $40K | |
| 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 | 2.8% | 308 | 308 | $25K |
| 99459 | 2.5% | 1,271 | 476 | $23K | |
| 57150 | <1% | 211 | 181 | $5K | |
| 87077 | <1% | 1,699 | 1,525 | $4K | |
| 57511 | <1% | 36 | 36 | $4K | |
| 87660 | <1% | 381 | 343 | $4K |
8 more codes
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 925 | $3K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 437 | $2K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 311 | $2K |
| 99441 | <1% | 35 | $570.30 | |
| 57180 | <1% | 42 | $433.18 | |
| 99402 | <1% | 18 | $300.30 | |
| 87480 | <1% | 141 | $178.67 | |
| 87510 | <1% | 140 | $138.64 |
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.