Physician
Crespo, Carmelo
Crespo, Carmelo was paid $1K by Medicaid between Jan 2018 and Aug 2023, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 98% of everything it billed.
33Billing provider infoCRESPO, CARMELO
DORADO, PR 00646
DORADO, PR 00646
33aNPI1689657868assigned 11/22/2005
33bProvider typeEmergency Medicine Physician
28Total paid$1K
24GClaims6,813
24DCodes billed15
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Emergency Medicine Physician providers in Puerto Rico
Rank by total paid#35 of 46
Median peer was paid$14K
This provider vs. median0.1×
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 | 557 | $362.40 | |
| 2019 | 482 | $0.00 | |
| 2020 | 794 | $225.96 | |
| 2021 | 2,186 | $470.41 | |
| 2022 | 1,517 | $129.88 | |
| 2023 | 1,277 | $150.00 |
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 | 98% | 2,285 | 1,919 | $1K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.2% | 22 | 18 | $29.26 |
| 3074F | 0% | 1,616 | 1,380 | $0.00 | |
| 1126F | 0% | 89 | 70 | $0.00 | |
| 3008F | 0% | 307 | 284 | $0.00 | |
| 1125F | 0% | 82 | 76 | $0.00 | |
| 3079F | 0% | 63 | 53 | $0.00 | |
| 1030F | 0% | 15 | 15 | $0.00 | |
| 3725F | 0% | 186 | 168 | $0.00 | |
| 0521F | 0% | 282 | 248 | $0.00 | |
| 3078F | 0% | 1,406 | 1,210 | $0.00 | |
| 1158F | 0% | 154 | 144 | $0.00 |
3 more codes
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.