Physician
Rosa Diaz, Luis
Rosa Diaz, Luis was paid $10K by Medicaid between Mar 2018 and Sep 2024, across 5 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 81% of everything it billed.
33Billing provider infoROSA DIAZ, LUIS
GUAYNABO, PR 00921
GUAYNABO, PR 00921
33aNPI1346319399assigned 11/06/2006
33bProvider typeFamily Medicine Physician
28Total paid$10K
24GClaims3,465
24DCodes billed5
24AFirst – last monthMar 2018 – Sep 2024
Compared with peers
Next to other Family Medicine Physician providers in Puerto Rico
Rank by total paid#48 of 160
Median peer was paid$1K
This provider vs. median8.7×
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 | 552 | $982.78 | |
| 2019 | 150 | $3K | |
| 2020 | 318 | $3K | |
| 2021 | 907 | $0.00 | |
| 2022 | 982 | $392.20 | |
| 2023 | 463 | $1K | |
| 2024incomplete | 93 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 81% | 1,700 | 1,212 | $8K |
| 99238 | Hospital discharge day management, 30 minutes or less | 7.3% | 596 | 537 | $719.85 |
| 99223 | Prolong inpt eval add15 m | 4.6% | 41 | 41 | $450.96 |
| 99222 | Initial hospital care, per day, moderate complexity | 3.6% | 1,092 | 997 | $355.82 |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.0% | 36 | 25 | $297.60 |
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.