Caban Badillo, Oscar

Caban Badillo, Oscar was paid $45K by Medicaid between Feb 2018 and Sep 2023, across 5 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 77% of everything it billed.

33Billing provider infoCABAN BADILLO, OSCAR
AGUADILLA, PR 00603

33aNPI1578602629assigned 02/05/2007

33bProvider typeInternal Medicine Physician

28Total paid$45K

24GClaims1,057

24DCodes billed5

24AFirst – last monthFeb 2018 – Sep 2023

Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#171 of 518

Median peer was paid$5K

This provider vs. median8.9×

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	395	$7K
2019	295	$12K
2020	55	$2K
2021	139	$12K
2022	104	$7K
2023	69	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	77%	451	398	$35K
99223	Prolong inpt eval add15 m	18%	291	274	$8K
99239	Hospital discharge day management, more than 30 minutes	4.8%	147	142	$2K
99245		<1%	33	32	$50.00
99221		0%	135	107	$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.