Physician
Acosta, Humberto
Acosta, Humberto was paid $216.50 by Medicaid between Nov 2018 and Feb 2019, across 5 billing codes. Its largest line is 99393, Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) — 100% of everything it billed.
33Billing provider infoACOSTA, HUMBERTO
CABO ROJO, PR 00623
CABO ROJO, PR 00623
33aNPI1528030236assigned 02/06/2006
33bProvider typeFamily Medicine Physician
28Total paid$216.50
24GClaims461
24DCodes billed5
24AFirst – last monthNov 2018 – Feb 2019
Compared with peers
Next to other Family Medicine Physician providers in Puerto Rico
Rank by total paid#98 of 160
Median peer was paid$1K
This provider vs. median0.2×
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 | 346 | $0.00 | |
| 2019 | 115 | $216.50 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 100% | 13 | 13 | $216.50 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 342 | 293 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 42 | 36 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 45 | 38 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 0% | 19 | 18 | $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.