Physician
Irizarry, Hector
Irizarry, Hector was paid $6K by Medicaid between Nov 2018 and Nov 2024, across 18 billing codes. Its largest line is 99441, — 44% of everything it billed.
33Billing provider infoIRIZARRY, HECTOR
GUAYANILLA, PR 00656
GUAYANILLA, PR 00656
33aNPI1417152836assigned 06/16/2007
33bProvider typeGeneral Practice Physician
28Total paid$6K
24GClaims10,843
24DCodes billed18
24AFirst – last monthNov 2018 – Nov 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#483 of 1,195
Median peer was paid$2K
This provider vs. median2.8×
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 | 63 | $219.00 | |
| 2019 | 887 | $0.00 | |
| 2020 | 1,011 | $2K | |
| 2021 | 1,181 | $1K | |
| 2022 | 1,849 | $135.00 | |
| 2023 | 3,684 | $2K | |
| 2024incomplete | 2,168 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99441 | 44% | 797 | 719 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 31% | 352 | 318 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 4,061 | 3,547 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.1% | 190 | 176 | $173.00 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.0% | 29 | 28 | $59.00 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 15 | 13 | $32.79 |
| 3074F | 0% | 1,807 | 1,655 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 332 | 318 | $0.00 |
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | 0% | 159 | 151 | $0.00 |
| 1170F | 0% | 109 | 105 | $0.00 | |
| 3048F | 0% | 42 | 42 | $0.00 | |
| 1125F | 0% | 122 | 117 | $0.00 |
6 more codes
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.