Physician
Stacholy, Mariela
Stacholy, Mariela was paid $7K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 32% of everything it billed.
33Billing provider infoSTACHOLY, MARIELA
ISABELA, PR 00662
ISABELA, PR 00662
33aNPI1346306909assigned 12/28/2006
33bProvider typePediatrics Physician
28Total paid$7K
24GClaims22,121
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Puerto Rico
Rank by total paid#94 of 194
Median peer was paid$7K
This provider vs. median1.1×
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 | 1,263 | $651.96 | |
| 2019 | 1,334 | $765.44 | |
| 2020 | 962 | $953.86 | |
| 2021 | 1,776 | $797.18 | |
| 2022 | 3,273 | $2K | |
| 2023 | 4,100 | $2K | |
| 2024incomplete | 9,413 | $243.64 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 32% | 1,203 | 1,144 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 12,377 | 7,278 | $2K |
| 99441 | 15% | 6,692 | 4,682 | $1K | |
| 96160 | 8.8% | 25 | 25 | $660.00 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 6.2% | 33 | 32 | $464.00 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.7% | 935 | 601 | $351.20 |
| 99221 | 2.0% | 25 | 24 | $147.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 305 | 185 | $23.69 |
| 99442 | <1% | 42 | 37 | $20.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 191 | 129 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 110 | 61 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 156 | 137 | $0.00 |
1 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 27 | $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.