Franco- Velez, Maria Del Mar

Franco- Velez, Maria Del Mar was paid $76K by Medicaid between Jan 2018 and Mar 2024, across 5 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 50% of everything it billed.

33Billing provider infoFRANCO- VELEZ, MARIA DEL MAR
CAGUAS, PR 00727

33aNPI1386629053assigned 12/14/2005

33bProvider typePediatrics Physician

28Total paid$76K

24GClaims1,167

24DCodes billed5

24AFirst – last monthJan 2018 – Mar 2024

Compared with peers

Next to other Pediatrics Physician providers in Puerto Rico

Rank by total paid#46 of 194

Median peer was paid$7K

This provider vs. median11×

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	223	$6K
2019	381	$21K
2020	20	$977.35
2021	111	$12K
2022	305	$26K
2023	66	$6K
2024incomplete	61	$6K

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	50%	586	263	$38K
99223	Prolong inpt eval add15 m	35%	236	207	$26K
99238	Hospital discharge day management, 30 minutes or less	8.4%	122	119	$6K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	5.2%	162	104	$4K
99221		2.2%	61	61	$2K

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.