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

Merced Alvarez, Gadiel

Merced Alvarez, Gadiel was paid $228K by Medicaid between Jan 2023 and Nov 2024, across 7 billing codes. Its largest line is 99285, emergency room visit (most serious) — 58% of everything it billed.

33Billing provider infoMERCED ALVAREZ, GADIEL
DORADO, PR 00646
33aNPI1801084512assigned 10/09/2007
28Total paid$228K
24GClaims2,719
24DCodes billed7
24AFirst – last monthJan 2023 – Nov 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Puerto Rico

Rank by total paid#8 of 46
Median peer was paid$14K
This provider vs. median16×

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$10K$20K$30K2018201920202021202220232024
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
20231,005$104K
2024incomplete1,714$124K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 58% 919 685 $132K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 28% 632 508 $63K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 8.3% 328 251 $19K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2.4% 652 423 $5K
99234 2.2% 47 35 $5K
99222 Initial hospital care, per day, moderate complexity 1.5% 111 90 $3K
93272 <1% 30 12 $216.54

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.