Zambrana-Flores, Elivette

Zambrana-Flores, Elivette was paid $92K by Medicaid between Nov 2023 and Dec 2024, across 2 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 91% of everything it billed.

33Billing provider infoZAMBRANA-FLORES, ELIVETTE
CAGUAS, PR 00976

33aNPI1316955339assigned 08/04/2006

33bProvider typePediatric Rheumatology Physician

28Total paid$92K

24GClaims584

24DCodes billed2

24AFirst – last monthNov 2023 – Dec 2024

Compared with peers

Next to other Pediatric Rheumatology Physician providers in Puerto Rico

Rank by total paid#5 of 6

Median peer was paid$435K

This provider vs. median0.2×

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
2023	34	$1K
2024incomplete	550	$91K

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	91%	536	314	$84K
99205	Prolong outpt/office vis	9.1%	48	32	$8K

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.