Tous, Amalia
Tous, Amalia was paid $29K by Medicaid between Aug 2021 and Nov 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 71% of everything it billed.
33Billing provider infoTOUS, AMALIA
BAYAMOM, PR 00959
BAYAMOM, PR 00959
33aNPI1457394181assigned 06/13/2006
33bProvider typeSpecialist
28Total paid$29K
24GClaims420
24DCodes billed2
24AFirst – last monthAug 2021 – Nov 2024
Compared with peers
Next to other Specialist providers in Puerto Rico
Rank by total paid#152 of 316
Median peer was paid$26K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2021 | 30 | $2K | |
| 2022 | 97 | $7K | |
| 2023 | 176 | $12K | |
| 2024incomplete | 117 | $9K |
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 | 71% | 308 | 286 | $21K |
| 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 | 29% | 112 | 111 | $8K |
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.