Hernandez Roman, Gabriel

Hernandez Roman, Gabriel was paid $224K by Medicaid between Oct 2023 and Dec 2024, across 14 billing codes. Its largest line is 99285, emergency room visit (most serious) — 29% of everything it billed.

33Billing provider infoHERNANDEZ ROMAN, GABRIEL
SAN JUAN, PR 00923

33aNPI1245795087assigned 02/06/2019

33bProvider typeGeneral Practice Physician

28Total paid$224K

24GClaims2,923

24DCodes billed14

24AFirst – last monthOct 2023 – Dec 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#101 of 1,195

Median peer was paid$2K

This provider vs. median110×

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
2023	420	$29K
2024incomplete	2,503	$196K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	29%	391	165	$65K
99234		19%	686	439	$43K
93268		18%	241	226	$41K
99235		17%	364	294	$38K
99236	Prolong inpt eval add15 m	6.7%	87	83	$15K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	4.6%	106	73	$10K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	1.7%	110	73	$4K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	<1%	180	170	$2K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	288	262	$1K
93272		<1%	72	12	$1K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	168	107	$1K
96360	Intravenous infusion, hydration; initial, 31 minutes to 1 hour	<1%	185	170	$1K

2 more codes

99232	Hospital visit by a doctor, follow-up day	<1%	14	$883.76
76140		<1%	31	$503.10

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.