Bou Prieto, Alfredo

Bou Prieto, Alfredo was paid $436K by Medicaid between Aug 2021 and Nov 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.

33Billing provider infoBOU PRIETO, ALFREDO
BAYAMON, PR 00959

33aNPI1285049635assigned 06/24/2014

33bProvider typeDermatology Physician

28Total paid$436K

24GClaims5,071

24DCodes billed9

24AFirst – last monthAug 2021 – Nov 2024

Compared with peers

Next to other Dermatology Physician providers in Puerto Rico

Rank by total paid#3 of 34

Median peer was paid$25K

This provider vs. median18×

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
2021	52	$4K
2022	522	$34K
2023	1,278	$112K
2024incomplete	3,219	$286K

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	28%	1,715	1,577	$120K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	24%	1,266	1,182	$105K
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	21%	696	641	$91K
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	13%	557	509	$56K
17110		7.6%	367	327	$33K
11102		3.1%	184	162	$13K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	2.3%	181	173	$10K
11200		1.1%	77	57	$5K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	28	26	$1K

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.