Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Casanova, Erick

Casanova, Erick was paid $65K by Medicaid between Jul 2020 and Sep 2024, across 13 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 55% of everything it billed.

33Billing provider infoCASANOVA, ERICK
VEGA BAJA, PR 00693
33aNPI1326070368assigned 07/07/2006
28Total paid$65K
24GClaims3,489
24DCodes billed13
24AFirst – last monthJul 2020 – Sep 2024
Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#148 of 518
Median peer was paid$5K
This provider vs. median13×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20201,476$3K
2021579$19K
2022446$20K
2023526$18K
2024incomplete462$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 55% 589 515 $36K
99223 Prolong inpt eval add15 m 28% 582 498 $18K
99238 Hospital discharge day management, 30 minutes or less 15% 842 702 $10K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 453 50 $500.40
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m <1% 390 50 $440.00
99253 <1% 135 89 $175.00
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 80 49 $40.80
1159F 0% 59 56 $0.00
1160F 0% 74 71 $0.00
1036F 0% 75 72 $0.00
1031F 0% 105 102 $0.00
3008F 0% 93 90 $0.00
1 more codes
99213 Doctor's office visit, returning patient (routine) 0% 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.