Physician
Irizarry Ceballos, Carmen
Irizarry Ceballos, Carmen was paid $19K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 89% of everything it billed.
33Billing provider infoIRIZARRY CEBALLOS, CARMEN
FAJARDO, PR 00738
FAJARDO, PR 00738
33aNPI1356302202assigned 03/30/2006
33bProvider typeGeneral Practice Physician
28Total paid$19K
24GClaims5,074
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#349 of 1,195
Median peer was paid$2K
This provider vs. median9.1×
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 | 54 | $0.00 | |
| 2019 | 294 | $0.00 | |
| 2020 | 665 | $2K | |
| 2021 | 1,084 | $5K | |
| 2022 | 957 | $6K | |
| 2023 | 1,084 | $5K | |
| 2024incomplete | 936 | $826.54 |
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 | 89% | 1,876 | 1,649 | $17K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 3,006 | 2,622 | $2K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 31 | 16 | $0.00 |
| 96160 | 0% | 112 | 91 | $0.00 | |
| 3078F | 0% | 32 | 31 | $0.00 | |
| 99442 | 0% | 17 | 17 | $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.