Physician
Torres Hernandez, Alberto
Torres Hernandez, Alberto was paid $51K by Medicaid between Jan 2018 and Aug 2022, across 15 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 34% of everything it billed.
33Billing provider infoTORRES HERNANDEZ, ALBERTO
UTUADO, PR 00641
UTUADO, PR 00641
33aNPI1669770616assigned 02/28/2011
33bProvider typeInternal Medicine Physician
28Total paid$51K
24GClaims1,116
24DCodes billed15
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other Internal Medicine Physician providers in Puerto Rico
Rank by total paid#162 of 518
Median peer was paid$5K
This provider vs. median10×
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 | 518 | $3K | |
| 2019 | 57 | $2K | |
| 2020 | 289 | $25K | |
| 2021 | 143 | $9K | |
| 2022 | 109 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 34% | 124 | 123 | $17K |
| 99251 | 19% | 301 | 294 | $10K | |
| 99222 | Initial hospital care, per day, moderate complexity | 18% | 100 | 96 | $9K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 17% | 37 | 33 | $9K |
| 99238 | Hospital discharge day management, 30 minutes or less | 9.1% | 102 | 99 | $5K |
| 99221 | 2.0% | 14 | 14 | $1K | |
| 3078F | <1% | 80 | 59 | $160.00 | |
| 3074F | <1% | 43 | 29 | $100.02 | |
| 1157F | <1% | 37 | 24 | $64.00 | |
| 1158F | <1% | 37 | 24 | $64.00 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 127 | 102 | $59.74 |
| 1126F | 0% | 22 | 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.