Simonetti, Humberto

Simonetti, Humberto was paid $250K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.

33Billing provider infoSIMONETTI, HUMBERTO
PONCE, PR 00731

33aNPI1619972635assigned 06/16/2005

33bProvider typeSpecialist

28Total paid$250K

24GClaims5,453

24DCodes billed6

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Specialist providers in Puerto Rico

Rank by total paid#68 of 316

Median peer was paid$26K

This provider vs. median9.8×

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	885	$19K
2019	855	$16K
2020	761	$22K
2021	710	$32K
2022	622	$40K
2023	849	$68K
2024incomplete	771	$53K

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	55%	2,770	2,378	$138K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	31%	400	369	$78K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	7.1%	1,800	1,529	$18K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.5%	108	106	$9K
93000		2.6%	346	323	$7K
99253		<1%	29	29	$1K

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.