Perez-Soto, Benjamin

Perez-Soto, Benjamin was paid $12K by Medicaid between Jan 2018 and Mar 2019, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.

33Billing provider infoPEREZ-SOTO, BENJAMIN
MAYAGUEZ, PR 00080

33aNPI1669551479assigned 11/03/2006

33bProvider typeUrology Physician

28Total paid$12K

24GClaims379

24DCodes billed4

24AFirst – last monthJan 2018 – Mar 2019

Compared with peers

Next to other Urology Physician providers in Puerto Rico

Rank by total paid#35 of 62

Median peer was paid$25K

This provider vs. median0.5×

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

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	355	$11K
2019	24	$721.50

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	35%	133	121	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	30%	125	118	$3K
96402		27%	100	92	$3K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	7.8%	21	14	$897.46

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.