Physician
Melendez, Luis
Melendez, Luis was paid $8.00 by Medicaid between Apr 2018 and Dec 2019, across 12 billing codes. Its largest line is 1158F, — 100% of everything it billed.
33Billing provider infoMELENDEZ, LUIS
GUAYAMA, PR 00784
GUAYAMA, PR 00784
33aNPI1235382250assigned 11/04/2008
33bProvider typeGeneral Practice Physician
28Total paid$8.00
24GClaims544
24DCodes billed12
24AFirst – last monthApr 2018 – Dec 2019
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#933 of 1,195
Median peer was paid$2K
This provider vs. median0.0×
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 | 127 | $8.00 | |
| 2019 | 417 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 1158F | 100% | 56 | 48 | $8.00 | |
| 1170F | 0% | 55 | 48 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 42 | 34 | $0.00 |
| 3074F | 0% | 56 | 49 | $0.00 | |
| 1157F | 0% | 41 | 36 | $0.00 | |
| 2010F | 0% | 41 | 36 | $0.00 | |
| 3008F | 0% | 41 | 36 | $0.00 | |
| 1125F | 0% | 20 | 18 | $0.00 | |
| 3078F | 0% | 55 | 48 | $0.00 | |
| 1160F | 0% | 61 | 52 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 15 | 13 | $0.00 |
| 1159F | 0% | 61 | 52 | $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.