Tosado Polanco, Juan

Tosado Polanco, Juan was paid $248K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 87% of everything it billed.

33Billing provider infoTOSADO POLANCO, JUAN
GUAYAMA, PR 00784

33aNPI1285715326assigned 10/17/2006

33bProvider typeObstetrics Physician

28Total paid$248K

24GClaims2,486

24DCodes billed8

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Obstetrics Physician providers in Puerto Rico

Rank by total paid#5 of 17

Median peer was paid$163K

This provider vs. median1.5×

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	63	$926.50
2019	94	$1K
2020	235	$14K
2021	521	$56K
2022	474	$53K
2023	639	$73K
2024incomplete	460	$50K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	87%	2,020	1,652	$215K
99205	Prolong outpt/office vis	6.1%	106	91	$15K
59430		3.7%	55	54	$9K
99242		2.6%	218	151	$6K
59025	Fetal non-stress test	<1%	26	14	$1K
99221		<1%	13	12	$947.18
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%	19	19	$374.50
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	<1%	29	28	$190.00

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.