Physician
Alvarado, Frankie
Alvarado, Frankie was paid $2.40M by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 45% of everything it billed.
33Billing provider infoALVARADO, FRANKIE
SAN JUAN, PR 00918
SAN JUAN, PR 00918
33aNPI1730219098assigned 03/06/2007
33bProvider typePulmonary Disease Physician
28Total paid$2.40M
24GClaims28,645
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Puerto Rico
Rank by total paid#1 of 55
Median peer was paid$68K
This provider vs. median35×
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 | 4,303 | $90K | |
| 2019 | 2,298 | $115K | |
| 2020 | 7,408 | $530K | |
| 2021 | 6,495 | $703K | |
| 2022 | 3,597 | $428K | |
| 2023 | 2,263 | $243K | |
| 2024incomplete | 2,281 | $289K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 45% | 7,428 | 1,249 | $1.08M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 22% | 7,654 | 2,055 | $537K |
| 99223 | Prolong inpt eval add15 m | 18% | 3,154 | 2,865 | $428K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.1% | 4,668 | 1,067 | $98K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.7% | 2,274 | 1,798 | $88K |
| 99253 | 3.3% | 1,794 | 1,731 | $80K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.8% | 701 | 597 | $43K |
| 99252 | 1.1% | 736 | 625 | $27K | |
| 36556 | <1% | 133 | 123 | $16K | |
| 94375 | <1% | 103 | 87 | $6K |
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.