Alayon-Rosario, Marcia

Alayon-Rosario, Marcia was paid $71K by Medicaid between Sep 2020 and Oct 2024, across 5 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 72% of everything it billed.

33Billing provider infoALAYON-ROSARIO, MARCIA
PONCE, PR 00716

33aNPI1508205246assigned 06/16/2013

33bProvider typeSurgery Physician

28Total paid$71K

24GClaims525

24DCodes billed5

24AFirst – last monthSep 2020 – Oct 2024

Compared with peers

Next to other Surgery Physician providers in Puerto Rico

Rank by total paid#35 of 111

Median peer was paid$28K

This provider vs. median2.5×

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
2020	41	$5K
2021	116	$15K
2022	113	$15K
2023	86	$13K
2024incomplete	169	$22K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	72%	356	306	$51K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	12%	86	25	$8K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	7.5%	34	26	$5K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	5.7%	34	34	$4K
99205	Prolong outpt/office vis	3.2%	15	15	$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.