Hernandez Lebron, Giovan

Hernandez Lebron, Giovan was paid $578K by Medicaid between Jan 2018 and Nov 2024, across 26 billing codes. Its largest line is 99234, — 32% of everything it billed.

33Billing provider infoHERNANDEZ LEBRON, GIOVAN
CAROLINA, PR 00981

33aNPI1225080880assigned 05/16/2006

33bProvider typeGeneral Practice Physician

28Total paid$578K

24GClaims10,554

24DCodes billed26

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#35 of 1,195

Median peer was paid$2K

This provider vs. median282×

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	1,235	$6K
2019	1,269	$38K
2020	730	$33K
2021	1,264	$76K
2022	1,877	$131K
2023	2,475	$190K
2024incomplete	1,704	$103K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99234		32%	2,006	1,507	$187K
99235		24%	1,136	881	$138K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	12%	2,822	2,145	$67K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	11%	698	518	$62K
99219		8.3%	730	640	$48K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	4.2%	352	256	$24K
99236	Prolong inpt eval add15 m	2.6%	96	64	$15K
76140		2.2%	575	509	$12K
96360	Intravenous infusion, hydration; initial, 31 minutes to 1 hour	1.5%	320	221	$9K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	<1%	139	91	$6K
99218		<1%	120	98	$4K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	<1%	418	399	$3K

14 more codes

93268		<1%	13	$2K
94664		<1%	74	$578.33
99349		<1%	13	$40.00
99213	Doctor's office visit, returning patient (routine)	<1%	129	$18.50
1158F		0%	115	$0.00
1160F		0%	136	$0.00
1159F		0%	136	$0.00
0521F		0%	115	$0.00
3078F		0%	49	$0.00
1126F		0%	72	$0.00
3008F		0%	111	$0.00
1170F		0%	116	$0.00
3074F		0%	48	$0.00
1125F		0%	15	$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.