Lugo Vicente, Humberto

Lugo Vicente, Humberto was paid $2K by Medicaid between Apr 2018 and Oct 2019, across 4 billing codes. Its largest line is 99243, — 76% of everything it billed.

33Billing provider infoLUGO VICENTE, HUMBERTO
BAYAMON, PR 00961

33aNPI1285602987assigned 03/09/2006

33bProvider typePediatric Surgery Physician

28Total paid$2K

24GClaims86

24DCodes billed4

24AFirst – last monthApr 2018 – Oct 2019

Compared with peers

Next to other Pediatric Surgery Physician providers in Puerto Rico

Rank by total paid#7 of 8

Median peer was paid$28K

This provider vs. median0.1×

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

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	28	$303.58
2019	58	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99243		76%	46	43	$2K
99205	Prolong outpt/office vis	13%	12	12	$279.20
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.3%	12	12	$196.76
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.2%	16	13	$24.38

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.