Physician
Hernandez Hernandez, Miriam
Hernandez Hernandez, Miriam was paid $6K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 78% of everything it billed.
33Billing provider infoHERNANDEZ HERNANDEZ, MIRIAM
AGUADA, PR 00602
AGUADA, PR 00602
33aNPI1528169737assigned 09/26/2006
33bProvider typeGeneral Practice Physician
28Total paid$6K
24GClaims6,655
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#461 of 1,195
Median peer was paid$2K
This provider vs. median3.1×
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 | 1,461 | $4K | |
| 2019 | 1,207 | $114.00 | |
| 2020 | 920 | $767.65 | |
| 2021 | 890 | $702.00 | |
| 2022 | 354 | $0.00 | |
| 2023 | 616 | $346.30 | |
| 2024incomplete | 1,207 | $0.00 |
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 | 78% | 4,694 | 4,159 | $5K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 18% | 34 | 34 | $1K |
| 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 | 2.1% | 114 | 112 | $135.75 |
| 99441 | 1.2% | 1,612 | 1,415 | $78.09 | |
| 99442 | 1.1% | 172 | 158 | $73.07 | |
| 3008F | 0% | 17 | 17 | $0.00 | |
| 3011F | 0% | 12 | 12 | $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.