Physician
Torres Hernandez, Marlene
Torres Hernandez, Marlene was paid $19K by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 85% of everything it billed.
33Billing provider infoTORRES HERNANDEZ, MARLENE
SAN SEBASTIAN, PR 00685
SAN SEBASTIAN, PR 00685
33aNPI1437139508assigned 01/17/2006
33bProvider typeGeneral Practice Physician
28Total paid$19K
24GClaims17,185
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#346 of 1,195
Median peer was paid$2K
This provider vs. median9.3×
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 | 2,809 | $17K | |
| 2019 | 2,339 | $150.00 | |
| 2020 | 1,631 | $655.26 | |
| 2021 | 2,523 | $357.00 | |
| 2022 | 2,706 | $0.00 | |
| 2023 | 2,840 | $275.40 | |
| 2024incomplete | 2,337 | $688.50 |
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 | 85% | 544 | 367 | $16K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.3% | 3,633 | 3,119 | $1K |
| 99442 | 4.4% | 646 | 541 | $831.68 | |
| 3078F | 1.5% | 3,072 | 2,660 | $288.40 | |
| 3074F | 1.4% | 3,082 | 2,666 | $269.20 | |
| 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% | 69 | 50 | $180.58 |
| 99205 | Prolong outpt/office vis | <1% | 111 | 105 | $165.50 |
| 1157F | <1% | 406 | 384 | $38.22 | |
| 1158F | <1% | 407 | 384 | $38.22 | |
| 3044F | <1% | 326 | 314 | $4.90 | |
| 3048F | <1% | 66 | 61 | $1.96 | |
| 3008F | 0% | 2,726 | 2,428 | $0.00 |
13 more codes
| 3017F | 0% | 122 | $0.00 | |
| 1170F | 0% | 270 | $0.00 | |
| 3061F | 0% | 147 | $0.00 | |
| 1125F | 0% | 271 | $0.00 | |
| 96156 | 0% | 102 | $0.00 | |
| 1030F | 0% | 17 | $0.00 | |
| 1159F | 0% | 283 | $0.00 | |
| 1160F | 0% | 284 | $0.00 | |
| 2028F | 0% | 276 | $0.00 | |
| 0521F | 0% | 271 | $0.00 | |
| 3050F | 0% | 13 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 14 | $0.00 |
| 3288F | 0% | 27 | $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.