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

Pabon Morales, Gabriel

Pabon Morales, Gabriel was paid $73K by Medicaid between Aug 2020 and Dec 2021, across 5 billing codes. Its largest line is 99220, — 40% of everything it billed.

33Billing provider infoPABON MORALES, GABRIEL
COTO LAUREL, PR 00780
33aNPI1750911145assigned 01/24/2020
28Total paid$73K
24GClaims787
24DCodes billed5
24AFirst – last monthAug 2020 – Dec 2021
Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#213 of 1,195
Median peer was paid$2K
This provider vs. median36×

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$5.0K$10K$15K2018201920202021202220232024
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
2020106$12K
2021681$61K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99220 40% 230 224 $29K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 37% 381 344 $27K
99236 Prolong inpt eval add15 m 17% 88 87 $12K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 5.6% 39 35 $4K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 49 49 $465.20

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.