Physician
Romero-Cales, Alvin
Romero-Cales, Alvin was paid $11K by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99441, — 92% of everything it billed.
33Billing provider infoROMERO-CALES, ALVIN
GUAYAMA, PR 00784
GUAYAMA, PR 00784
33aNPI1427024488assigned 02/28/2006
33bProvider typeFamily Medicine Physician
28Total paid$11K
24GClaims19,193
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Puerto Rico
Rank by total paid#47 of 160
Median peer was paid$1K
This provider vs. median9.4×
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 | 79 | $0.00 | |
| 2021 | 2,246 | $118.58 | |
| 2022 | 4,737 | $8K | |
| 2023 | 6,519 | $3K | |
| 2024incomplete | 5,612 | $0.02 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99441 | 92% | 435 | 395 | $10K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.3% | 1,315 | 1,223 | $884.63 |
| 96127 | <1% | 1,114 | 849 | $18.30 | |
| 3079F | 0% | 942 | 813 | $0.00 | |
| 1030F | 0% | 535 | 473 | $0.00 | |
| 3074F | 0% | 403 | 369 | $0.00 | |
| 3080F | 0% | 249 | 223 | $0.00 | |
| 99385 | 0% | 181 | 143 | $0.00 | |
| 3075F | 0% | 909 | 779 | $0.00 | |
| 1126F | 0% | 1,147 | 970 | $0.00 | |
| 3008F | 0% | 1,635 | 1,343 | $0.00 | |
| 3017F | 0% | 144 | 111 | $0.00 |
21 more codes
| 4010F | 0% | 482 | $0.00 | |
| 1157F | 0% | 1,222 | $0.00 | |
| 1111F | 0% | 86 | $0.00 | |
| 3049F | 0% | 30 | $0.00 | |
| 1170F | 0% | 105 | $0.00 | |
| 1022F | 0% | 237 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 35 | $0.00 |
| 1125F | 0% | 20 | $0.00 | |
| 3048F | 0% | 44 | $0.00 | |
| 4013F | 0% | 538 | $0.00 | |
| 3078F | 0% | 642 | $0.00 | |
| 3725F | 0% | 1,223 | $0.00 | |
| 1158F | 0% | 1,230 | $0.00 | |
| 1160F | 0% | 1,681 | $0.00 | |
| 1159F | 0% | 1,668 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 467 | $0.00 |
| 3077F | 0% | 390 | $0.00 | |
| 99397 | 0% | 18 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 28 | $0.00 |
| 96160 | 0% | 18 | $0.00 | |
| 0521F | 0% | 20 | $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.