Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › Caguas › NPI 1548404833
Physician

Rosado Garcia, Francisco

Rosado Garcia, Francisco was paid $154K by Medicaid between Jan 2018 and Oct 2024, across 44 billing codes. Its largest line is S9097, Home visit for wound care — 98% of everything it billed.

33Billing provider infoROSADO GARCIA, FRANCISCO
CAGUAS, PR 00727
33aNPI1548404833assigned 04/30/2009
28Total paid$154K
24GClaims57,918
24DCodes billed44
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#140 of 1,195
Median peer was paid$2K
This provider vs. median76×

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$5.0K$10K$15K2018201920202021202220232024
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
2018356$23.00
20195,222$0.00
20207,652$214.33
202110,115$65K
202214,705$88K
202311,905$338.52
2024incomplete7,963$90.91
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S9097 Home visit for wound care 98% 2,861 485 $151K
T1030 Nursing care, in the home, by registered nurse, per diem 1.2% 31 26 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 3,238 2,637 $628.77
99334 <1% 830 784 $315.20
99347 <1% 152 148 $200.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 239 204 $35.84
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 <1% 111 106 $13.00
3074F <1% 3,404 2,985 $10.01
4040F <1% 14 12 $0.06
2010F <1% 2,523 2,072 $0.01
3008F <1% 4,038 3,463 $0.01
2001F <1% 2,407 1,986 $0.01
32 more codes
1036F <1% 2,369 $0.01
2000F <1% 4,043 $0.01
1160F <1% 4,418 $0.01
4035F <1% 3,648 $0.01
1159F <1% 4,670 $0.01
3037F 0% 1,677 $0.00
1126F 0% 2,248 $0.00
0509F 0% 478 $0.00
1170F 0% 1,788 $0.00
4037F 0% 164 $0.00
0513F 0% 108 $0.00
1101F 0% 1,360 $0.00
3044F 0% 81 $0.00
1125F 0% 162 $0.00
96161 0% 117 $0.00
3079F 0% 119 $0.00
99050 0% 43 $0.00
3075F 0% 17 $0.00
3066F 0% 31 $0.00
1030F 0% 13 $0.00
1158F 0% 483 $0.00
1090F 0% 418 $0.00
3078F 0% 3,594 $0.00
0521F 0% 2,489 $0.00
1033F 0% 831 $0.00
3028F 0% 1,064 $0.00
0556F 0% 85 $0.00
0518F 0% 1,395 $0.00
3077F 0% 42 $0.00
1091F 0% 86 $0.00
3089F 0% 14 $0.00
3725F 0% 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.