Herrero-Torres, Carmelo

Herrero-Torres, Carmelo was paid $38K by Medicaid between Apr 2018 and Nov 2019, across 5 billing codes. Its largest line is 99070, — 41% of everything it billed.

33Billing provider infoHERRERO-TORRES, CARMELO
HUMACAO, PR 00791

33aNPI1346230349assigned 10/21/2005

33bProvider typeInternal Medicine Physician

28Total paid$38K

24GClaims713

24DCodes billed5

24AFirst – last monthApr 2018 – Nov 2019

Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#184 of 518

Median peer was paid$5K

This provider vs. median7.5×

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	366	$25K
2019	347	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99070		41%	145	113	$15K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	23%	309	299	$9K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	233	214	$5K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	13%	12	12	$5K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	10%	14	14	$4K

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.