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

Aguilar, Melitsa

Aguilar, Melitsa was paid $18K by Medicaid between Jan 2020 and May 2024, across 5 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 44% of everything it billed.

33Billing provider infoAGUILAR, MELITSA
DORADO, PR 00646
33aNPI1801003025assigned 05/17/2007
28Total paid$18K
24GClaims310
24DCodes billed5
24AFirst – last monthJan 2020 – May 2024
Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#351 of 1,195
Median peer was paid$2K
This provider vs. median9.0×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
2020140$3K
2021146$14K
2024incomplete24$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 44% 67 66 $8K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 21% 39 13 $4K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 18% 130 42 $3K
99238 Hospital discharge day management, 30 minutes or less 15% 62 61 $3K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2.1% 12 12 $386.28

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.