Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Marrero Alvira, Efrain

Marrero Alvira, Efrain was paid $209K by Medicaid between Nov 2020 and Jun 2024, across 9 billing codes. Its largest line is 99235, — 47% of everything it billed.

33Billing provider infoMARRERO ALVIRA, EFRAIN
LUQUILLO, PR 00773
33aNPI1447866884assigned 09/21/2020
28Total paid$209K
24GClaims1,944
24DCodes billed9
24AFirst – last monthNov 2020 – Jun 2024
Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#109 of 1,195
Median peer was paid$2K
This provider vs. median102×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
202045$2K
2021175$14K
2022514$59K
2023873$105K
2024incomplete337$29K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99235 47% 805 694 $98K
99220 22% 355 329 $46K
99234 17% 385 349 $36K
99223 Prolong inpt eval add15 m 8.3% 116 97 $17K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 3.1% 161 121 $6K
99236 Prolong inpt eval add15 m 1.1% 15 14 $2K
99222 Initial hospital care, per day, moderate complexity <1% 18 18 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 75 64 $686.92
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 14 14 $24.40

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.