Physician
Cortes, Hector
Cortes, Hector was paid $937.80 by Medicaid between Feb 2018 and Jul 2022, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.
33Billing provider infoCORTES, HECTOR
CAGUAS, PR 00725
CAGUAS, PR 00725
33aNPI1538136445assigned 03/01/2006
33bProvider typeGeneral Practice Physician
28Total paid$937.80
24GClaims8,325
24DCodes billed12
24AFirst – last monthFeb 2018 – Jul 2022
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#696 of 1,195
Median peer was paid$2K
This provider vs. median0.5×
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 | 730 | $295.92 | |
| 2019 | 1,994 | $0.00 | |
| 2020 | 780 | $0.00 | |
| 2021 | 3,832 | $641.88 | |
| 2022 | 989 | $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 | 68% | 1,578 | 1,351 | $641.88 |
| 3078F | 14% | 1,236 | 1,068 | $130.00 | |
| 3074F | 14% | 1,126 | 970 | $130.00 | |
| 1157F | 3.8% | 18 | 14 | $35.92 | |
| 1159F | 0% | 1,429 | 1,229 | $0.00 | |
| 1160F | 0% | 1,393 | 1,203 | $0.00 | |
| 1158F | 0% | 104 | 100 | $0.00 | |
| 3077F | 0% | 13 | 13 | $0.00 | |
| 3008F | 0% | 1,242 | 1,082 | $0.00 | |
| 1170F | 0% | 159 | 142 | $0.00 | |
| 3079F | 0% | 14 | 14 | $0.00 | |
| 2000F | 0% | 13 | 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.