Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › Guayama › NPI 1336280429
Physician

Corica Guinle, Alberto

Corica Guinle, Alberto was paid $1.95M by Medicaid between Nov 2018 and Dec 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.

33Billing provider infoCORICA GUINLE, ALBERTO
GUAYAMA, PR 00784
33aNPI1336280429assigned 02/09/2007
33bProvider typeUrology Physician
28Total paid$1.95M
24GClaims29,423
24DCodes billed13
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers

Next to other Urology Physician providers in Puerto Rico

Rank by total paid#1 of 62
Median peer was paid$25K
This provider vs. median79×

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$50K$100K$150K2018201920202021202220232024
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
2018276$7K
20192,323$16K
20201,867$97K
20212,951$117K
20225,026$334K
20237,568$621K
2024incomplete9,412$762K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 38% 13,323 10,924 $745K
76770 15% 3,662 3,058 $286K
76872 12% 2,820 2,416 $238K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 11% 3,200 2,736 $223K
76870 5.2% 1,326 1,063 $103K
51741 5.1% 1,887 1,564 $100K
52000 5.1% 552 512 $99K
76857 3.0% 1,037 956 $58K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2.3% 750 529 $46K
52332 1.0% 57 56 $20K
96402 <1% 610 450 $18K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m <1% 186 149 $18K
1 more codes
99238 Hospital discharge day management, 30 minutes or less <1% 13 $750.10

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.