Saldivar, Miguel

Saldivar, Miguel was paid $6K by Medicaid between Sep 2018 and Aug 2023, across 3 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 73% of everything it billed.

33Billing provider infoSALDIVAR, MIGUEL
SOUTH PORTLAND, ME 04106

33aNPI1205273661assigned 05/25/2013

33bProvider typeInternal Medicine Physician

28Total paid$6K

24GClaims261

24DCodes billed3

24AFirst – last monthSep 2018 – Aug 2023

Compared with peers

Next to other Internal Medicine Physician providers in Maine

Rank by total paid#23 of 32

Median peer was paid$29K

This provider vs. median0.2×

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	116	$3K
2019	74	$2K
2020	26	$378.82
2021	20	$206.57
2022	13	$130.05
2023	12	$131.35

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	73%	149	53	$5K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	21%	86	60	$1K
99231	Subsequent hospital care, per day, straightforward or low complexity	6.1%	26	13	$378.82

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.