Mercedes Maldonado, Milciades
Mercedes Maldonado, Milciades was paid $162K by Medicaid between Jul 2018 and Jun 2024, across 6 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 35% of everything it billed.
33Billing provider infoMERCEDES MALDONADO, MILCIADES
GUAYNABO, PR 00969
GUAYNABO, PR 00969
33aNPI1366435000assigned 08/29/2005
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$162K
24GClaims1,686
24DCodes billed6
24AFirst – last monthJul 2018 – Jun 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Puerto Rico
Rank by total paid#20 of 77
Median peer was paid$39K
This provider vs. median4.2×
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 | 12 | $740.00 | |
| 2020 | 30 | $1K | |
| 2021 | 653 | $53K | |
| 2022 | 535 | $58K | |
| 2023 | 433 | $47K | |
| 2024incomplete | 23 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 35% | 562 | 447 | $57K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 30% | 330 | 271 | $49K |
| 99223 | Prolong inpt eval add15 m | 21% | 256 | 237 | $34K |
| 99239 | Hospital discharge day management, more than 30 minutes | 13% | 296 | 272 | $21K |
| 99243 | <1% | 73 | 73 | $2K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 169 | 166 | $785.30 |
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.