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

Aponte Hernandez, Ronald

Aponte Hernandez, Ronald was paid $621K by Medicaid between Aug 2019 and Dec 2024, across 11 billing codes. Its largest line is 99236, Prolong inpt eval add15 m — 50% of everything it billed.

33Billing provider infoAPONTE HERNANDEZ, RONALD
CIALES, PR 00638
33aNPI1619479870assigned 03/05/2018
28Total paid$621K
24GClaims7,212
24DCodes billed11
24AFirst – last monthAug 2019 – Dec 2024
Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#30 of 1,195
Median peer was paid$2K
This provider vs. median304×

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$20K$40K2018201920202021202220232024
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
2019541$7K
20201,086$39K
20211,494$135K
20222,054$254K
2023998$88K
2024incomplete1,039$98K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99236 Prolong inpt eval add15 m 50% 2,236 2,168 $313K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 22% 1,823 1,735 $136K
99235 20% 1,049 929 $127K
99220 3.6% 199 195 $23K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 1.3% 573 549 $8K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.0% 783 694 $6K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 440 422 $5K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life <1% 29 29 $3K
93271 <1% 23 14 $879.06
93272 <1% 42 25 $239.64
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 15 15 $225.00

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.