Alicea Melendez, Javier

Alicea Melendez, Javier was paid $359K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is 99234, — 92% of everything it billed.

33Billing provider infoALICEA MELENDEZ, JAVIER
GUAYAMA, PR 00784

33aNPI1679809917assigned 10/21/2009

33bProvider typeGeneral Practice Physician

28Total paid$359K

24GClaims4,912

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#66 of 1,195

Median peer was paid$2K

This provider vs. median175×

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	728	$17K
2019	797	$28K
2020	397	$32K
2021	682	$65K
2022	654	$59K
2023	1,019	$99K
2024incomplete	635	$59K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99234		92%	4,178	3,742	$330K
99235		3.8%	123	123	$13K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	2.1%	463	443	$8K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	1.9%	130	122	$7K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	18	18	$756.36

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.