Physician
Pelliccia, Francisco
Pelliccia, Francisco was paid $179K by Medicaid between Jan 2018 and Oct 2024, across 14 billing codes. Its largest line is 99219, — 36% of everything it billed.
33Billing provider infoPELLICCIA, FRANCISCO
YAUCO, PR 00698
YAUCO, PR 00698
33aNPI1689850232assigned 01/14/2008
33bProvider typeGeneral Practice Physician
28Total paid$179K
24GClaims41,065
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#126 of 1,195
Median peer was paid$2K
This provider vs. median88×
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 | 5,201 | $66K | |
| 2019 | 6,232 | $42K | |
| 2020 | 4,764 | $9K | |
| 2021 | 6,859 | $16K | |
| 2022 | 7,333 | $21K | |
| 2023 | 8,287 | $18K | |
| 2024incomplete | 2,389 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99219 | 36% | 916 | 858 | $64K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 23% | 3,202 | 2,866 | $40K |
| 99218 | 20% | 705 | 657 | $35K | |
| 96160 | 11% | 1,334 | 1,082 | $20K | |
| 99441 | 5.3% | 5,346 | 4,285 | $9K | |
| 99234 | 2.3% | 129 | 123 | $4K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.7% | 201 | 189 | $3K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 6,860 | 5,039 | $2K |
| 99217 | <1% | 54 | 52 | $526.50 | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 12 | 12 | $480.00 |
| 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% | 22,215 | 16,218 | $372.44 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 25 | 24 | $0.00 |
2 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.