Physician
Alvarado Melendez, Francisco
Alvarado Melendez, Francisco was paid $1.06M by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 57% of everything it billed.
33Billing provider infoALVARADO MELENDEZ, FRANCISCO
CAGUAS, PR 00725
CAGUAS, PR 00725
33aNPI1437199593assigned 06/07/2006
33bProvider typeInfectious Disease Physician
28Total paid$1.06M
24GClaims15,681
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Infectious Disease Physician providers in Puerto Rico
Rank by total paid#3 of 57
Median peer was paid$106K
This provider vs. median10×
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 | 1,104 | $28K | |
| 2019 | 1,351 | $50K | |
| 2020 | 1,726 | $77K | |
| 2021 | 2,282 | $151K | |
| 2022 | 2,278 | $163K | |
| 2023 | 2,555 | $201K | |
| 2024incomplete | 4,385 | $391K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 57% | 11,671 | 3,060 | $608K |
| 99223 | Prolong inpt eval add15 m | 33% | 2,292 | 1,778 | $355K |
| 99254 | 4.9% | 1,127 | 1,007 | $52K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.1% | 328 | 289 | $22K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.9% | 209 | 185 | $20K |
| 99253 | <1% | 39 | 34 | $2K | |
| 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 | <1% | 15 | 13 | $2K |
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.