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

Diaz-Lugo, Manuel

Diaz-Lugo, Manuel was paid $9K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99441, — 49% of everything it billed.

33Billing provider infoDIAZ-LUGO, MANUEL
MANATI, PR 00674
33aNPI1659433449assigned 12/15/2006
33bProvider typePediatrics Physician
28Total paid$9K
24GClaims20,164
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in Puerto Rico

Rank by total paid#88 of 194
Median peer was paid$7K
This provider vs. median1.3×

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$500$1.0K2018201920202021202220232024
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
20182,220$244.37
2019288$0.00
2020845$20.69
20212,759$1K
20224,656$4K
20235,102$3K
2024incomplete4,294$751.38
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99441 49% 1,652 1,391 $4K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 35% 9,327 7,561 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 11% 5,511 4,849 $950.14
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.4% 710 642 $210.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.1% 1,389 1,267 $185.22
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 1,250 1,109 $27.01
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 309 279 $0.01
99383 0% 16 13 $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.