Miranda Guzman, Roberto

Miranda Guzman, Roberto was paid $224K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is 99284, emergency room visit (serious) — 99% of everything it billed.

33Billing provider infoMIRANDA GUZMAN, ROBERTO
ARECIBO, PR 00612

33aNPI1295906204assigned 03/18/2008

33bProvider typeGeneral Practice Physician

28Total paid$224K

24GClaims5,164

24DCodes billed12

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#103 of 1,195

Median peer was paid$2K

This provider vs. median110×

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	$825.60
2019	550	$7K
2020	578	$16K
2021	755	$53K
2022	1,370	$80K
2023	1,155	$44K
2024incomplete	728	$23K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	99%	4,781	4,384	$223K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	<1%	28	25	$825.60
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	26	26	$259.80
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%	15	15	$213.96
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	<1%	114	101	$182.74
1159F		0%	65	62	$0.00
3078F		0%	16	16	$0.00
1160F		0%	63	61	$0.00
0521F		0%	13	12	$0.00
3074F		0%	18	16	$0.00
1125F		0%	13	12	$0.00
3008F		0%	12	12	$0.00

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.