Caro Ruiz, Mildred

Caro Ruiz, Mildred was paid $124K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.

33Billing provider infoCARO RUIZ, MILDRED
AGUADA, PR 00602

33aNPI1518053438assigned 10/05/2006

33bProvider typePulmonary Disease Physician

28Total paid$124K

24GClaims2,681

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Puerto Rico

Rank by total paid#21 of 55

Median peer was paid$68K

This provider vs. median1.8×

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	358	$8K
2019	378	$8K
2020	393	$22K
2021	537	$29K
2022	331	$16K
2023	305	$19K
2024incomplete	379	$22K

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	63%	1,629	1,553	$78K
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	22%	314	309	$27K
94010		8.0%	389	375	$10K
99244	Office or other outpatient consultation, moderate to high complexity	6.8%	236	218	$8K
94761		<1%	113	111	$202.88

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.