Physician
Arcila, Adriana
Arcila, Adriana was paid $272K by Medicaid between Mar 2018 and Nov 2024, across 11 billing codes. Its largest line is 94375, — 30% of everything it billed.
33Billing provider infoARCILA, ADRIANA
MANATI, PR 00674
MANATI, PR 00674
33aNPI1528269842assigned 05/31/2007
33bProvider typeInternal Medicine Physician
28Total paid$272K
24GClaims6,267
24DCodes billed11
24AFirst – last monthMar 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Puerto Rico
Rank by total paid#59 of 518
Median peer was paid$5K
This provider vs. median54×
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 | 394 | $7K | |
| 2019 | 321 | $2K | |
| 2020 | 213 | $11K | |
| 2021 | 1,084 | $15K | |
| 2022 | 911 | $29K | |
| 2023 | 1,398 | $79K | |
| 2024incomplete | 1,946 | $128K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 94375 | 30% | 1,665 | 1,315 | $81K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 26% | 724 | 473 | $70K |
| 94729 | 16% | 1,110 | 830 | $43K | |
| 94727 | 12% | 1,113 | 829 | $34K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 1,279 | 1,095 | $29K |
| 99442 | 3.4% | 113 | 87 | $9K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 166 | 113 | $3K |
| 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 | <1% | 13 | 13 | $2K |
| 99443 | <1% | 13 | 12 | $930.84 | |
| 94664 | <1% | 45 | 25 | $137.10 | |
| 94760 | 0% | 26 | 20 | $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.