Maldonado, Alberto
Maldonado, Alberto was paid $76K by Medicaid between Jan 2018 and Jun 2024, across 3 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 56% of everything it billed.
33Billing provider infoMALDONADO, ALBERTO
LOUISVILLE, KY 40245
LOUISVILLE, KY 40245
33aNPI1194894808assigned 11/07/2006
33bProvider typeSpecialist
28Total paid$76K
24GClaims2,036
24DCodes billed3
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Specialist providers in Kentucky
Rank by total paid#43 of 73
Median peer was paid$107K
This provider vs. median0.7×
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 | 637 | $22K | |
| 2019 | 588 | $21K | |
| 2020 | 216 | $10K | |
| 2021 | 225 | $11K | |
| 2022 | 160 | $6K | |
| 2023 | 149 | $5K | |
| 2024incomplete | 61 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 56% | 610 | 522 | $43K |
| 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 | 30% | 689 | 433 | $23K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 14% | 737 | 204 | $11K |
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.