Bolanos, Guillermo

Bolanos, Guillermo was paid $45K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.

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	44	$0.00
2021	57	$3K
2022	421	$12K
2023	498	$20K
2024incomplete	395	$11K

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	61%	457	380	$27K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	30%	158	153	$14K
99221		7.4%	49	44	$3K
99243		1.8%	29	28	$827.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	289	244	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	116	88	$0.00
1036F		0%	266	225	$0.00
99024		0%	51	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.