Borrero, Ernesto

Borrero, Ernesto was paid $117K by Medicaid between Jan 2021 and Sep 2024, across 9 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 42% of everything it billed.

33Billing provider infoBORRERO, ERNESTO
SAN JUAN, PR 00935

33aNPI1598166233assigned 09/12/2014

33bProvider typeNeurology Physician

28Total paid$117K

24GClaims913

24DCodes billed9

24AFirst – last monthJan 2021 – Sep 2024

Compared with peers

Next to other Neurology Physician providers in Puerto Rico

Rank by total paid#13 of 45

Median peer was paid$16K

This provider vs. median7.4×

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	83	$4K
2022	52	$5K
2023	360	$48K
2024incomplete	418	$59K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	42%	318	296	$49K
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	16%	185	178	$19K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	16%	158	155	$19K
95819		12%	64	57	$14K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	5.4%	73	38	$6K
95957		5.2%	42	38	$6K
99222	Initial hospital care, per day, moderate complexity	2.5%	34	34	$3K
99443		<1%	15	13	$310.28
99253		<1%	24	12	$210.00

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.