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

Velez Gonzalez, Felipe

Velez Gonzalez, Felipe was paid $1.41M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 35% of everything it billed.

33Billing provider infoVELEZ GONZALEZ, FELIPE
ANGELES, PR 00611
33aNPI1790012524assigned 11/16/2009
28Total paid$1.41M
24GClaims13,207
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#9 of 518
Median peer was paid$5K
This provider vs. median283×

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$20K$40K$60K2018201920202021202220232024
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
20181,015$69K
2019456$16K
20201,583$148K
20212,134$229K
20222,351$247K
20233,197$363K
2024incomplete2,471$340K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 35% 1,588 1,545 $492K
45380 Colonoscopy, flexible; with biopsy, single or multiple 27% 1,270 1,241 $387K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 11% 2,161 2,106 $161K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11% 3,267 3,158 $160K
99070 6.7% 3,154 2,493 $94K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 4.4% 107 105 $62K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 1.2% 473 367 $17K
99443 1.1% 331 322 $16K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 549 535 $6K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity <1% 42 42 $3K
99223 Prolong inpt eval add15 m <1% 38 38 $3K
99222 Initial hospital care, per day, moderate complexity <1% 111 102 $3K
4 more codes
99204 Doctor's office visit, new patient (more involved) <1% 33 $2K
99442 <1% 42 $2K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 18 $1K
99232 Hospital visit by a doctor, follow-up day <1% 23 $576.55

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.