Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Robles Garcia, Enrique

Robles Garcia, Enrique was paid $119K by Medicaid between Jan 2018 and Oct 2024, across 7 billing codes. Its largest line is 99219, — 43% of everything it billed.

33Billing provider infoROBLES GARCIA, ENRIQUE
CAGUAS, PR 00725
33aNPI1689869059assigned 09/10/2007
28Total paid$119K
24GClaims1,841
24DCodes billed7
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Puerto Rico

Rank by total paid#14 of 46
Median peer was paid$14K
This provider vs. median8.5×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018569$28K
2019352$24K
202086$8K
2021204$9K
2022242$16K
2023209$21K
2024incomplete179$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99219 43% 908 769 $52K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 27% 344 343 $33K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 18% 431 396 $22K
99218 4.4% 85 56 $5K
99235 3.7% 34 26 $4K
99220 2.9% 27 27 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 12 12 $124.98

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.