Colon, Melba

Colon, Melba was paid $124K by Medicaid between Jan 2018 and Sep 2024, across 5 billing codes. Its largest line is 99222, Initial hospital care, per day, moderate complexity — 39% of everything it billed.

33Billing provider infoCOLON, MELBA
BAYAMON, PR 00959

33aNPI1679559462assigned 12/22/2005

33bProvider typeInfectious Disease Physician

28Total paid$124K

24GClaims1,886

24DCodes billed5

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Infectious Disease Physician providers in Puerto Rico

Rank by total paid#28 of 57

Median peer was paid$106K

This provider vs. median1.2×

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	141	$5K
2019	258	$4K
2020	261	$14K
2021	454	$33K
2022	306	$24K
2023	222	$23K
2024incomplete	244	$22K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99222	Initial hospital care, per day, moderate complexity	39%	465	394	$49K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	37%	727	509	$47K
99253		10%	439	394	$13K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	6.6%	146	81	$8K
99221		6.4%	109	104	$8K

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.