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

Mercado Cabrera, Frantony

Mercado Cabrera, Frantony was paid $558K by Medicaid between Jan 2022 and Nov 2024, across 13 billing codes. Its largest line is 93458, — 42% of everything it billed.

33Billing provider infoMERCADO CABRERA, FRANTONY
MAYAGUEZ, PR 00680
33aNPI1255774832assigned 04/12/2013
28Total paid$558K
24GClaims2,786
24DCodes billed13
24AFirst – last monthJan 2022 – Nov 2024
Compared with peers

Next to other Cardiovascular Disease Physician providers in Puerto Rico

Rank by total paid#36 of 174
Median peer was paid$109K
This provider vs. median5.1×

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$20K$40K$60K2018201920202021202220232024
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
2022748$118K
20231,017$267K
2024incomplete1,021$173K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93458 42% 174 161 $233K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 21% 448 436 $118K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 20% 1,152 1,110 $111K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13% 612 583 $74K
99223 Prolong inpt eval add15 m 1.1% 44 42 $6K
93224 <1% 31 31 $4K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 47 47 $4K
93000 <1% 139 134 $3K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 21 19 $2K
93880 <1% 12 12 $2K
93567 <1% 15 14 $650.00
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 36 29 $389.85
1 more codes
93356 <1% 55 $305.25

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.