Fahme, Eduardo

Fahme, Eduardo was paid $98K by Medicaid between Jun 2018 and Oct 2024, across 4 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 42% of everything it billed.

33Billing provider infoFAHME, EDUARDO
BAYAMON, PR 00961

33aNPI1245223973assigned 08/29/2005

33bProvider typePulmonary Disease Physician

28Total paid$98K

24GClaims1,201

24DCodes billed4

24AFirst – last monthJun 2018 – Oct 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Puerto Rico

Rank by total paid#25 of 55

Median peer was paid$68K

This provider vs. median1.4×

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	14	$178.65
2020	144	$8K
2021	366	$26K
2022	355	$34K
2023	226	$19K
2024incomplete	96	$10K

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	42%	645	344	$41K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	31%	314	236	$30K
99223	Prolong inpt eval add15 m	25%	195	183	$25K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.6%	47	43	$3K

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.