Mercado, Teodoro

Mercado, Teodoro was paid $90K by Medicaid between Jan 2018 and Sep 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.

33Billing provider infoMERCADO, TEODORO
SAN JUAN, PR 00918

33aNPI1447270038assigned 07/19/2006

33bProvider typeCardiovascular Disease Physician

28Total paid$90K

24GClaims2,051

24DCodes billed5

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Cardiovascular Disease Physician providers in Puerto Rico

Rank by total paid#91 of 174

Median peer was paid$109K

This provider vs. median0.8×

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	232	$5K
2019	207	$3K
2020	133	$5K
2021	323	$14K
2022	248	$9K
2023	375	$18K
2024incomplete	533	$35K

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	66%	1,256	1,086	$59K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	19%	64	53	$17K
93000		8.1%	502	434	$7K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	4.4%	195	182	$4K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.6%	34	26	$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.