Pena, Mary Karen

Pena, Mary Karen was paid $234K by Medicaid between Jan 2018 and Aug 2024, across 6 billing codes. Its largest line is 95816, — 34% of everything it billed.

33Billing provider infoPENA, MARY KAREN
HUMACAO, PR 00791

33aNPI1386746634assigned 09/05/2006

33bProvider typeNeurology Physician

28Total paid$234K

24GClaims1,999

24DCodes billed6

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Neurology Physician providers in Puerto Rico

Rank by total paid#7 of 45

Median peer was paid$16K

This provider vs. median15×

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	269	$5K
2019	127	$718.20
2020	153	$23K
2021	397	$58K
2022	510	$65K
2023	436	$68K
2024incomplete	107	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95816		34%	345	337	$80K
99205	Prolong outpt/office vis	31%	488	481	$73K
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	26%	850	844	$61K
99223	Prolong inpt eval add15 m	6.9%	107	105	$16K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	182	179	$2K
99255		<1%	27	27	$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.