Loyola, Mario

Loyola, Mario was paid $1.04M by Medicaid between Mar 2018 and Dec 2024, across 16 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 25% of everything it billed.

33Billing provider infoLOYOLA, MARIO
MAYAGUEZ, PR 00680

33aNPI1437278157assigned 03/28/2007

33bProvider typeNeurology with Special Qualifications in Child Neurology Physician

28Total paid$1.04M

24GClaims9,899

24DCodes billed16

24AFirst – last monthMar 2018 – Dec 2024

Compared with peers

Next to other Neurology with Special Qualifications in Child Neurology Physician providers in Puerto Rico

Rank by total paid#2 of 10

Median peer was paid$91K

This provider vs. median11×

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	808	$53K
2019	2,025	$152K
2020	1,765	$152K
2021	2,119	$236K
2022	1,086	$130K
2023	1,116	$163K
2024incomplete	980	$148K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	25%	2,198	1,982	$259K
95819		16%	513	471	$168K
99205	Prolong outpt/office vis	13%	868	804	$132K
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	8.4%	1,022	901	$87K
95957		7.6%	535	507	$79K
95930		7.1%	1,114	1,023	$74K
92585		6.4%	651	605	$67K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	4.7%	1,424	1,315	$48K
95938		4.4%	210	195	$46K
95925		2.0%	130	122	$21K
99201		1.5%	368	365	$15K
92652		1.4%	254	247	$14K

4 more codes

92653		1.1%	269	$11K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	1.0%	242	$11K
95816		<1%	13	$5K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	88	$119.00

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.