Marquez Pantoja, Mariela

Marquez Pantoja, Mariela was paid $118K by Medicaid between Mar 2021 and Nov 2024, across 4 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 65% of everything it billed.

33Billing provider infoMARQUEZ PANTOJA, MARIELA
JUNCOS, PR 00777

33aNPI1376978098assigned 09/12/2013

33bProvider typeGeneral Practice Physician

28Total paid$118K

24GClaims1,331

24DCodes billed4

24AFirst – last monthMar 2021 – Nov 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#160 of 1,195

Median peer was paid$2K

This provider vs. median58×

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
2021	245	$21K
2022	316	$25K
2023	440	$40K
2024incomplete	330	$32K

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	65%	990	470	$77K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	17%	192	122	$20K
99223	Prolong inpt eval add15 m	17%	137	130	$20K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	1.2%	12	12	$1K

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.