Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Orraca-Gotay, Antonio

Orraca-Gotay, Antonio was paid $197K by Medicaid between Jun 2020 and Oct 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.

33Billing provider infoORRACA-GOTAY, ANTONIO
SAN JUAN, PR 00907
33aNPI1225473739assigned 05/10/2013
28Total paid$197K
24GClaims3,076
24DCodes billed8
24AFirst – last monthJun 2020 – Oct 2024
Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#75 of 518
Median peer was paid$5K
This provider vs. median39×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2020233$13K
2021454$26K
2022730$38K
2023813$64K
2024incomplete846$56K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 45% 1,018 942 $89K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 21% 154 143 $41K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 11% 303 184 $22K
93000 9.6% 976 917 $19K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 5.7% 207 157 $11K
99223 Prolong inpt eval add15 m 4.6% 60 46 $9K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.8% 333 253 $4K
93227 1.0% 25 25 $2K

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.