Rosario-Vargas, Luis

Rosario-Vargas, Luis was paid $247K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 85% of everything it billed.

33Billing provider infoROSARIO-VARGAS, LUIS
BAYAMON, PR 00961

33aNPI1609844406assigned 03/09/2006

33bProvider typeObstetrics Physician

28Total paid$247K

24GClaims12,048

24DCodes billed9

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Obstetrics Physician providers in Puerto Rico

Rank by total paid#6 of 17

Median peer was paid$163K

This provider vs. median1.5×

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	2,055	$30K
2019	1,916	$22K
2020	2,024	$51K
2021	1,956	$57K
2022	1,652	$34K
2023	1,293	$29K
2024incomplete	1,152	$23K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	85%	9,574	7,166	$209K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	6.3%	648	609	$15K
59515		5.3%	14	14	$13K
99281	Emergency department visit for the evaluation and management, self-limited or minor	2.0%	354	291	$5K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	153	132	$2K
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	<1%	1,226	1,174	$2K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	44	44	$100.36
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	0%	19	18	$0.00
0503F		0%	16	16	$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.