Mercado, Hector

Mercado, Hector was paid $2K by Medicaid between Jan 2021 and Jun 2021, across 2 billing codes. Its largest line is 99282, Emergency department visit for the evaluation and management, low to moderate severity — 87% of everything it billed.

33Billing provider infoMERCADO, HECTOR
TRUJILLO ALTO, PR 00976

33aNPI1588298954assigned 02/25/2020

33bProvider typeGeneral Practice Physician

28Total paid$2K

24GClaims68

24DCodes billed2

24AFirst – last monthJan 2021 – Jun 2021

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#623 of 1,195

Median peer was paid$2K

This provider vs. median0.8×

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
2021	68	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99282	Emergency department visit for the evaluation and management, low to moderate severity	87%	52	51	$1K
99281	Emergency department visit for the evaluation and management, self-limited or minor	13%	16	15	$226.52

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.