Falcon Matos, Carlos

Falcon Matos, Carlos was paid $2K by Medicaid between Oct 2020 and Aug 2022, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.

33Billing provider infoFALCON MATOS, CARLOS
SAN JUAN, PR 00927

33aNPI1639130123assigned 04/01/2006

33bProvider typePhysical Medicine & Rehabilitation Physician

28Total paid$2K

24GClaims66

24DCodes billed2

24AFirst – last monthOct 2020 – Aug 2022

Compared with peers

Next to other Physical Medicine & Rehabilitation Physician providers in Puerto Rico

Rank by total paid#85 of 88

Median peer was paid$135K

This provider vs. median0.0×

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
2020	39	$857.95
2022	27	$1K

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	62%	27	24	$1K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	38%	39	12	$857.95

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.