Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › Cayey › NPI 1275602559
Physician

Aponte, Zwinda

Aponte, Zwinda was paid $96K by Medicaid between Oct 2018 and Oct 2024, across 9 billing codes. Its largest line is 99219, — 33% of everything it billed.

33Billing provider infoAPONTE, ZWINDA
CAYEY, PR 00736
33aNPI1275602559assigned 11/08/2006
33bProvider typePediatrics Physician
28Total paid$96K
24GClaims1,223
24DCodes billed9
24AFirst – last monthOct 2018 – Oct 2024
Compared with peers

Next to other Pediatrics Physician providers in Puerto Rico

Rank by total paid#44 of 194
Median peer was paid$7K
This provider vs. median14×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
201830$310.21
2019517$35K
202048$4K
202129$1K
2022282$18K
2023269$30K
2024incomplete48$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99219 33% 415 302 $32K
99235 19% 153 150 $18K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 13% 153 153 $13K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 10% 63 39 $10K
99282 Emergency department visit for the evaluation and management, low to moderate severity 7.5% 199 198 $7K
99218 6.8% 122 84 $7K
99236 Prolong inpt eval add15 m 6.3% 36 36 $6K
99220 1.9% 14 14 $2K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 1.8% 68 65 $2K

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.