Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › San Juan › NPI 1528475415
Physician

DM Infectious Diseases, PSC

DM Infectious Diseases, PSC was paid $59K by Medicaid between Apr 2024 and Sep 2024, across 2 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 75% of everything it billed.

33Billing provider infoDM INFECTIOUS DISEASES, PSC
SAN JUAN, PR 00918
33aNPI1528475415assigned 07/13/2014
28Total paid$59K
24GClaims623
24DCodes billed2
24AFirst – last monthApr 2024 – Sep 2024
Compared with peers

Next to other Infectious Disease Physician providers in Puerto Rico

Rank by total paid#37 of 57
Median peer was paid$106K
This provider vs. median0.6×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2024incomplete623$59K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 75% 529 110 $44K
99223 Prolong inpt eval add15 m 25% 94 71 $14K

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.

From NPPES

Who's on the registration

Authorized officialPEREZ-TORRES, DORIS (PRESIDENT)