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

Vazquez Luna, Efrain

Vazquez Luna, Efrain was paid $14K by Medicaid between Jan 2018 and Sep 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 97% of everything it billed.

33Billing provider infoVAZQUEZ LUNA, EFRAIN
SANTURCE, PR 00909
33aNPI1235238932assigned 09/21/2006
28Total paid$14K
24GClaims315
24DCodes billed4
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Puerto Rico

Rank by total paid#119 of 185
Median peer was paid$53K
This provider vs. median0.3×

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$2.0K$4.0K2018201920202021202220232024
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
201833$112.00
202150$213.96
202214$372.00
2024incomplete218$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 97% 272 182 $14K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 2.6% 14 12 $372.00
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination <1% 16 14 $71.87
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 0% 13 13 $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.