Pacheco, Carlos

Pacheco, Carlos was paid $86K by Medicaid between May 2018 and Nov 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 94% of everything it billed.

33Billing provider infoPACHECO, CARLOS
HUMACAO, PR 00791

33aNPI1255394565assigned 04/08/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$86K

24GClaims1,720

24DCodes billed2

24AFirst – last monthMay 2018 – Nov 2024

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Puerto Rico

Rank by total paid#72 of 185

Median peer was paid$53K

This provider vs. median1.6×

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	85	$1K
2019	259	$5K
2020	78	$3K
2021	308	$17K
2022	285	$15K
2023	289	$21K
2024incomplete	416	$25K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	94%	1,645	1,266	$81K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	5.8%	75	70	$5K

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.