Soto Hernandez, Elvin

Soto Hernandez, Elvin was paid $21K by Medicaid between Nov 2021 and Oct 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 93% of everything it billed.

33Billing provider infoSOTO HERNANDEZ, ELVIN
AGUADILLA, PR 00603

33aNPI1699030445assigned 07/09/2012

33bProvider typeInternal Medicine Physician

28Total paid$21K

24GClaims325

24DCodes billed2

24AFirst – last monthNov 2021 – Oct 2024

Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#213 of 518

Median peer was paid$5K

This provider vs. median4.2×

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
2021	46	$2K
2022	26	$974.27
2023	122	$9K
2024incomplete	131	$9K

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	93%	292	241	$19K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	7.2%	33	12	$1K

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.