Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Colon, Sheila

Colon, Sheila was paid $1.24M by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 99234, — 35% of everything it billed.

33Billing provider infoCOLON, SHEILA
PONCE, PR 00728
33aNPI1376796748assigned 10/29/2008
28Total paid$1.24M
24GClaims25,114
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Public Health & General Preventive Medicine Physician providers in Puerto Rico

Rank by total paid#1 of 8
Median peer was paid$215.00
This provider vs. median5,755×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20181,290$43K
20195,229$190K
20202,098$80K
20212,741$155K
20224,011$189K
20235,461$324K
2024incomplete4,284$256K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99234 35% 4,537 3,609 $433K
99219 18% 2,852 2,373 $222K
99235 11% 1,127 906 $136K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 9.5% 2,615 1,918 $117K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 7.8% 5,901 4,587 $96K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6.0% 1,626 1,348 $75K
76140 5.6% 3,075 2,523 $69K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 2.7% 626 468 $33K
99236 Prolong inpt eval add15 m 1.7% 133 119 $21K
99218 1.3% 383 379 $15K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life <1% 1,445 1,026 $8K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 247 198 $6K
3 more codes
94664 <1% 461 $4K
96361 Intravenous infusion, hydration; each additional hour <1% 20 $503.80
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 66 $490.20

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.