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

Roman, Abdiel

Roman, Abdiel was paid $5K by Medicaid between Sep 2020 and Sep 2024, across 3 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 100% of everything it billed.

33Billing provider infoROMAN, ABDIEL
MOCA, PR 00676
33aNPI1639282429assigned 08/16/2006
28Total paid$5K
24GClaims1,775
24DCodes billed3
24AFirst – last monthSep 2020 – Sep 2024
Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#488 of 1,195
Median peer was paid$2K
This provider vs. median2.5×

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

$0$200$400$6002018201920202021202220232024
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
202014$0.00
2021203$765.00
2022532$2K
2023646$2K
2024incomplete380$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 100% 1,707 1,444 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 0% 56 50 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 0% 12 12 $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.