Colon - Guzman, Carlos

Colon - Guzman, Carlos was paid $99K by Medicaid between Jun 2023 and Jul 2024, across 7 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 47% of everything it billed.

33Billing provider infoCOLON - GUZMAN, CARLOS
MANATI, PR 00674

33aNPI1538665856assigned 04/04/2018

33bProvider typeFamily Medicine Physician

28Total paid$99K

24GClaims1,602

24DCodes billed7

24AFirst – last monthJun 2023 – Jul 2024

Compared with peers

Next to other Family Medicine Physician providers in Puerto Rico

Rank by total paid#22 of 160

Median peer was paid$1K

This provider vs. median87×

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
2023	648	$44K
2024incomplete	954	$55K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	47%	225	172	$46K
99223	Prolong inpt eval add15 m	29%	230	177	$29K
99238	Hospital discharge day management, 30 minutes or less	14%	285	211	$14K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	5.0%	125	70	$5K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	2.9%	18	15	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.5%	704	478	$2K
99242		0%	15	15	$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.