Reyes, Miguel

Reyes, Miguel was paid $236K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 67% of everything it billed.

33Billing provider infoREYES, MIGUEL
MANATI, PR 00674

33aNPI1295807261assigned 11/14/2006

33bProvider typePediatrics Physician

28Total paid$236K

24GClaims4,759

24DCodes billed6

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pediatrics Physician providers in Puerto Rico

Rank by total paid#30 of 194

Median peer was paid$7K

This provider vs. median35×

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	340	$498.00
2019	476	$542.48
2020	116	$0.00
2021	646	$1K
2022	795	$7K
2023	1,108	$51K
2024incomplete	1,278	$177K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	67%	812	635	$159K
99223	Prolong inpt eval add15 m	30%	546	390	$70K
99231	Subsequent hospital care, per day, straightforward or low complexity	1.9%	402	369	$4K
99241		<1%	389	371	$1K
99245		<1%	149	146	$1K
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%	2,461	1,755	$395.93

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.