Physician
Marques-Lespier, Juan
Marques-Lespier, Juan was paid $989K by Medicaid between Mar 2019 and Oct 2024, across 13 billing codes. Its largest line is 45380, Colonoscopy, flexible; with biopsy, single or multiple — 20% of everything it billed.
33Billing provider infoMARQUES-LESPIER, JUAN
MANATI, PR 00674
MANATI, PR 00674
33aNPI1407142227assigned 06/20/2011
33bProvider typeInternal Medicine Physician
28Total paid$989K
24GClaims9,644
24DCodes billed13
24AFirst – last monthMar 2019 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in Puerto Rico
Rank by total paid#14 of 518
Median peer was paid$5K
This provider vs. median198×
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 | |
|---|---|---|---|
| 2019 | 575 | $22K | |
| 2020 | 954 | $71K | |
| 2021 | 1,665 | $160K | |
| 2022 | 1,637 | $173K | |
| 2023 | 2,741 | $332K | |
| 2024incomplete | 2,072 | $231K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 20% | 671 | 642 | $202K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 3,209 | 3,032 | $184K |
| 99223 | Prolong inpt eval add15 m | 18% | 1,356 | 1,274 | $174K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 16% | 494 | 447 | $154K |
| 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 | 11% | 920 | 858 | $104K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 8.6% | 1,235 | 646 | $85K |
| 99070 | 6.2% | 1,219 | 1,117 | $62K | |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | 1.2% | 301 | 238 | $11K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 102 | 102 | $7K |
| 99443 | <1% | 95 | 94 | $4K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 18 | 12 | $1K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 12 | 12 | $1K |
1 more codes
| 99442 | <1% | 12 | $515.27 |
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.