Physician
Talavera, Tomas
Talavera, Tomas was paid $19K by Medicaid between Jan 2018 and Jul 2020, across 17 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 33% of everything it billed.
33Billing provider infoTALAVERA, TOMAS
ARECIBO, PR 00612
ARECIBO, PR 00612
33aNPI1235230277assigned 09/25/2006
33bProvider typeInternal Medicine Physician
28Total paid$19K
24GClaims1,080
24DCodes billed17
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other Internal Medicine Physician providers in Puerto Rico
Rank by total paid#219 of 518
Median peer was paid$5K
This provider vs. median3.8×
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 | 879 | $14K | |
| 2019 | 120 | $3K | |
| 2020 | 81 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 33% | 82 | 78 | $6K |
| 99221 | 24% | 146 | 137 | $4K | |
| 99242 | 17% | 66 | 65 | $3K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 13% | 127 | 124 | $3K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 3.6% | 99 | 85 | $684.31 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.4% | 120 | 103 | $457.64 |
| 99241 | 2.2% | 12 | 12 | $413.00 | |
| 3074F | 1.5% | 75 | 69 | $279.00 | |
| 3078F | 1.4% | 86 | 80 | $259.00 | |
| 1157F | <1% | 38 | 30 | $119.92 | |
| 1158F | <1% | 41 | 33 | $119.92 | |
| 1170F | 0% | 38 | 30 | $0.00 |
5 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.