Almodovar-Mercado, Gustavo

Almodovar-Mercado, Gustavo was paid $1.31M by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 31525, — 27% of everything it billed.

33Billing provider infoALMODOVAR-MERCADO, GUSTAVO
MAYAGUEZ, PR 00680

33aNPI1447480918assigned 07/19/2009

33bProvider typeOtolaryngology Physician

28Total paid$1.31M

24GClaims11,272

24DCodes billed7

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Otolaryngology Physician providers in Puerto Rico

Rank by total paid#1 of 29

Median peer was paid$79K

This provider vs. median17×

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	1,022	$58K
2019	1,180	$68K
2020	818	$64K
2021	1,195	$116K
2022	2,117	$217K
2023	2,380	$372K
2024incomplete	2,560	$411K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
31525		27%	1,907	1,755	$357K
31231		27%	2,320	2,091	$355K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	20%	3,205	2,940	$255K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	16%	3,307	2,935	$207K
31237		7.3%	292	233	$95K
31233		2.5%	79	57	$32K
69210		<1%	162	154	$5K

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.