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

Borrego Conde, Lillian

Borrego Conde, Lillian was paid $82K by Medicaid between Jan 2018 and Jun 2023, across 4 billing codes. Its largest line is 90961, — 70% of everything it billed.

33Billing provider infoBORREGO CONDE, LILLIAN
SAN JUAN, PR 00917
33aNPI1255417283assigned 10/31/2006
33bProvider typeNephrology Physician
28Total paid$82K
24GClaims969
24DCodes billed4
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers

Next to other Nephrology Physician providers in Puerto Rico

Rank by total paid#35 of 81
Median peer was paid$66K
This provider vs. median1.2×

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$4.0K$6.0K2018201920202021202220232024
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
2018234$21K
2019318$22K
2020232$21K
202196$11K
202264$5K
202325$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90961 70% 560 503 $57K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 15% 110 92 $12K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 9.4% 210 65 $8K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.0% 89 89 $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.