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

Vega-Ocasio, William

Vega-Ocasio, William was paid $225K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 81% of everything it billed.

33Billing provider infoVEGA-OCASIO, WILLIAM
CAYEY, PR 00736
33aNPI1598750317assigned 09/19/2005
33bProvider typeNephrology Physician
28Total paid$225K
24GClaims1,888
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Nephrology Physician providers in Puerto Rico

Rank by total paid#19 of 81
Median peer was paid$66K
This provider vs. median3.4×

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

$0$5.0K$10K2018201920202021202220232024
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
2018200$6K
2019236$12K
2020372$45K
2021342$45K
2022361$37K
2023246$49K
2024incomplete131$31K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 81% 835 670 $183K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 829 747 $34K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 3.6% 116 75 $8K
3008F 0% 39 35 $0.00
1160F 0% 35 31 $0.00
1159F 0% 34 30 $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.