Lugo, Tomas

Lugo, Tomas was paid $93K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 57% of everything it billed.

33Billing provider infoLUGO, TOMAS
SAN JUAN, PR 00926

33aNPI1356341416assigned 07/29/2005

33bProvider typeInfectious Disease Physician

28Total paid$93K

24GClaims1,295

24DCodes billed4

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Infectious Disease Physician providers in Puerto Rico

Rank by total paid#31 of 57

Median peer was paid$106K

This provider vs. median0.9×

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	321	$10K
2019	190	$8K
2020	146	$9K
2021	96	$4K
2022	103	$12K
2023	91	$12K
2024incomplete	348	$37K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	57%	434	345	$53K
99254		23%	480	446	$22K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	13%	160	65	$12K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	6.8%	221	103	$6K

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.