Leyva, Carlos

Leyva, Carlos was paid $393K by Medicaid between Jan 2018 and Oct 2023, across 3 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 88% of everything it billed.

33Billing provider infoLEYVA, CARLOS
SAN JUAN, PR 00923

33aNPI1437353356assigned 06/13/2007

33bProvider typePediatric Endocrinology Physician

28Total paid$393K

24GClaims4,876

24DCodes billed3

24AFirst – last monthJan 2018 – Oct 2023

Compared with peers

Next to other Pediatric Endocrinology Physician providers in Puerto Rico

Rank by total paid#2 of 10

Median peer was paid$118K

This provider vs. median3.3×

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	1,005	$68K
2019	899	$64K
2020	903	$76K
2021	1,024	$99K
2022	1,017	$82K
2023	28	$3K

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	88%	4,242	4,080	$347K
99245		11%	606	602	$43K
99205	Prolong outpt/office vis	<1%	28	28	$3K

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.