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

Otero Rosado, Alexis

Otero Rosado, Alexis was paid $96K by Medicaid between Dec 2020 and Mar 2024, across 7 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 50% of everything it billed.

33Billing provider infoOTERO ROSADO, ALEXIS
MANATI, PR 00674
33aNPI1376912444assigned 09/18/2015
28Total paid$96K
24GClaims1,409
24DCodes billed7
24AFirst – last monthDec 2020 – Mar 2024
Compared with peers

Next to other Family Medicine Physician providers in Puerto Rico

Rank by total paid#23 of 160
Median peer was paid$1K
This provider vs. median84×

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$5.0K$10K$15K2018201920202021202220232024
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
202019$550.00
2021279$12K
2022295$19K
2023635$49K
2024incomplete181$16K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 50% 360 346 $48K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 20% 108 103 $19K
99244 Office or other outpatient consultation, moderate to high complexity 19% 447 427 $19K
99238 Hospital discharge day management, 30 minutes or less 5.0% 108 101 $5K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3.5% 342 287 $3K
99253 1.1% 30 28 $1K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity <1% 14 13 $669.24

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.