Physician
DR. Alberto Zamot Carmona, P.S.C.
DR. Alberto Zamot Carmona, P.S.C. was paid $257K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoDR. ALBERTO ZAMOT CARMONA, P.S.C.
DORADO, PR 00646
DORADO, PR 00646
33aNPI1396112520assigned 08/24/2015
33bProvider typeGastroenterology Physician
28Total paid$257K
24GClaims3,732
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Puerto Rico
Rank by total paid#39 of 107
Median peer was paid$47K
This provider vs. median5.5×
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 | 470 | $15K | |
| 2019 | 598 | $20K | |
| 2020 | 368 | $23K | |
| 2021 | 306 | $25K | |
| 2022 | 395 | $29K | |
| 2023 | 641 | $59K | |
| 2024incomplete | 954 | $87K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 2,088 | 1,795 | $109K |
| 99223 | Prolong inpt eval add15 m | 33% | 566 | 464 | $84K |
| 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 | 13% | 531 | 522 | $34K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.7% | 106 | 59 | $10K |
| 99070 | 2.7% | 235 | 189 | $7K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 2.0% | 14 | 13 | $5K |
| 99254 | 2.0% | 173 | 158 | $5K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.2% | 19 | 16 | $3K |
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.
From NPPES
Who's on the registration
Authorized officialZAMOT CARMONA, ALBERTO (GASTROENTEROLOGIST)