Physician
Lugo, Adalberto
Lugo, Adalberto was paid $42K by Medicaid between Oct 2018 and Apr 2022, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.
33Billing provider infoLUGO, ADALBERTO
ADJUNTAS, PR 00601
ADJUNTAS, PR 00601
33aNPI1477583821assigned 07/03/2006
33bProvider typePediatrics Physician
28Total paid$42K
24GClaims5,271
24DCodes billed5
24AFirst – last monthOct 2018 – Apr 2022
Compared with peers
Next to other Pediatrics Physician providers in Puerto Rico
Rank by total paid#64 of 194
Median peer was paid$7K
This provider vs. median6.2×
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 | |
|---|---|---|---|
| 2018 | 34 | $26.00 | |
| 2019 | 1,251 | $1K | |
| 2020 | 1,058 | $7K | |
| 2021 | 2,617 | $29K | |
| 2022 | 311 | $4K |
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 | 100% | 4,995 | 3,934 | $42K |
| 96160 | <1% | 135 | 127 | $183.91 | |
| 99401 | 0% | 19 | 19 | $0.00 | |
| 99408 | 0% | 60 | 56 | $0.00 | |
| 96127 | 0% | 62 | 58 | $0.00 |
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.