Physician
OIG excluded
Muniz Molinero, Carlos
Muniz Molinero, Carlos was paid $20K by Medicaid between Jan 2018 and Sep 2023, across 15 billing codes. Its largest line is 99245, — 74% of everything it billed.
33Billing provider infoMUNIZ MOLINERO, CARLOS
AGUADA, PR 00602
AGUADA, PR 00602
33aNPI1194871277assigned 01/25/2007
33bProvider typeInternal Medicine Physician
28Total paid$20K
24GClaims2,512
24DCodes billed15
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Internal Medicine Physician providers in Puerto Rico
Rank by total paid#217 of 518
Median peer was paid$5K
This provider vs. median3.9×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
OIG exclusionListed on the federal exclusion list (11/20/2024).
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 | 1,812 | $13K | |
| 2019 | 647 | $5K | |
| 2023 | 53 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99245 | 74% | 930 | 869 | $15K | |
| 93000 | 13% | 953 | 887 | $3K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.9% | 85 | 74 | $1K |
| 99223 | Prolong inpt eval add15 m | 2.3% | 57 | 55 | $456.88 |
| 3078F | 1.0% | 29 | 28 | $205.80 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 147 | 122 | $177.06 |
| 3074F | <1% | 16 | 15 | $117.60 | |
| 1158F | <1% | 33 | 33 | $61.77 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 12 | 12 | $57.70 |
| 3008F | 0% | 43 | 41 | $0.00 | |
| 1036F | 0% | 19 | 18 | $0.00 | |
| 1170F | 0% | 34 | 34 | $0.00 |
3 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.