Physician
Durand, Luz
Durand, Luz was paid $2K by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 57% of everything it billed.
33Billing provider infoDURAND, LUZ
MAYAGUEZ, PR 00680
MAYAGUEZ, PR 00680
33aNPI1730335340assigned 08/14/2008
33bProvider typeGeneral Practice Physician
28Total paid$2K
24GClaims20,068
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#611 of 1,195
Median peer was paid$2K
This provider vs. median0.9×
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 | 652 | $0.00 | |
| 2019 | 673 | $0.00 | |
| 2020 | 555 | $182.52 | |
| 2021 | 912 | $940.42 | |
| 2022 | 1,550 | $766.87 | |
| 2023 | 10,126 | $0.00 | |
| 2024incomplete | 5,600 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 57% | 25 | 25 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 5,598 | 4,881 | $741.77 |
| 99442 | 3.6% | 68 | 58 | $68.04 | |
| 3288F | 0% | 236 | 211 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 650 | 572 | $0.00 |
| 3078F | 0% | 2,479 | 2,087 | $0.00 | |
| 1158F | 0% | 283 | 257 | $0.00 | |
| 1160F | 0% | 390 | 340 | $0.00 | |
| 1159F | 0% | 282 | 257 | $0.00 | |
| 3725F | 0% | 251 | 231 | $0.00 | |
| 2029F | 0% | 299 | 261 | $0.00 | |
| 4035F | 0% | 140 | 115 | $0.00 |
24 more codes
| 2028F | 0% | 29 | $0.00 | |
| 96127 | 0% | 134 | $0.00 | |
| 3044F | 0% | 30 | $0.00 | |
| 3351F | 0% | 249 | $0.00 | |
| 2001F | 0% | 1,052 | $0.00 | |
| 1030F | 0% | 98 | $0.00 | |
| 3017F | 0% | 113 | $0.00 | |
| 2000F | 0% | 1,073 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 111 | $0.00 |
| 1022F | 0% | 134 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 179 | $0.00 |
| 1170F | 0% | 274 | $0.00 | |
| 3074F | 0% | 2,488 | $0.00 | |
| 1126F | 0% | 196 | $0.00 | |
| 3008F | 0% | 1,117 | $0.00 | |
| 3048F | 0% | 48 | $0.00 | |
| 2010F | 0% | 1,055 | $0.00 | |
| 1125F | 0% | 118 | $0.00 | |
| 3061F | 0% | 120 | $0.00 | |
| 3011F | 0% | 223 | $0.00 | |
| 1157F | 0% | 264 | $0.00 | |
| 1101F | 0% | 195 | $0.00 | |
| 99386 | 0% | 28 | $0.00 | |
| 99441 | 0% | 39 | $0.00 |
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.