Perales Figueroa, Marjorie

Perales Figueroa, Marjorie was paid $552K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is 99222, Initial hospital care, per day, moderate complexity — 36% of everything it billed.

33Billing provider infoPERALES FIGUEROA, MARJORIE
HUMACAO, PR 00791

33aNPI1720033871assigned 05/24/2006

33bProvider typeInfectious Disease Physician

28Total paid$552K

24GClaims8,228

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Infectious Disease Physician providers in Puerto Rico

Rank by total paid#8 of 57

Median peer was paid$106K

This provider vs. median5.2×

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
2018	1,275	$36K
2019	443	$12K
2020	398	$23K
2021	1,347	$88K
2022	1,091	$78K
2023	1,855	$149K
2024incomplete	1,819	$166K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99222	Initial hospital care, per day, moderate complexity	36%	1,993	1,740	$200K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	33%	2,366	1,057	$183K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	25%	3,114	1,327	$140K
99356		3.7%	534	343	$20K
99254		1.8%	221	207	$10K

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.