Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Monroig, Francisco

Monroig, Francisco was paid $5K by Medicaid between Jan 2018 and Aug 2019, across 20 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 58% of everything it billed.

33Billing provider infoMONROIG, FRANCISCO
HUMACAO, PR 00791
33aNPI1386636298assigned 08/17/2005
33bProvider typeSpecialist
28Total paid$5K
24GClaims3,083
24DCodes billed20
24AFirst – last monthJan 2018 – Aug 2019
Compared with peers

Next to other Specialist providers in Puerto Rico

Rank by total paid#200 of 316
Median peer was paid$26K
This provider vs. median0.2×

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

$0$500$1.0K$1.5K2018201920202021202220232024
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
20182,883$5K
2019200$29.76
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 58% 86 86 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 26% 93 93 $1K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.8% 419 360 $323.24
3044F 5.2% 82 73 $250.00
1158F 1.8% 211 188 $88.00
1157F <1% 18 18 $40.00
3078F <1% 195 169 $35.00
3074F <1% 211 183 $30.00
96160 0% 108 80 $0.00
1160F 0% 285 255 $0.00
1159F 0% 281 250 $0.00
3017F 0% 219 192 $0.00
8 more codes
1126F 0% 189 $0.00
3008F 0% 192 $0.00
3072F 0% 112 $0.00
3014F 0% 16 $0.00
3048F 0% 18 $0.00
99214 Doctor's office visit, returning patient (more involved) 0% 76 $0.00
1170F 0% 241 $0.00
3060F 0% 31 $0.00

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.