Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Paz Reyes, Luis

Paz Reyes, Luis was paid $30K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 96160, — 51% of everything it billed.

33Billing provider infoPAZ REYES, LUIS
VEGA BAJA, PR 00693
33aNPI1588730469assigned 11/24/2006
28Total paid$30K
24GClaims1,347
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#300 of 1,195
Median peer was paid$2K
This provider vs. median15×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
2018187$3K
202038$1K
20211,019$21K
202243$4K
2024incomplete60$990.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
96160 51% 567 522 $15K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 32% 40 37 $10K
99223 Prolong inpt eval add15 m 8.2% 156 121 $2K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 6.2% 30 24 $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 1.4% 233 221 $424.42
99238 Hospital discharge day management, 30 minutes or less 1.2% 39 37 $365.75
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 282 250 $64.94

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.