Soto Martinez, Guillermo

Soto Martinez, Guillermo was paid $620.60 by Medicaid between Mar 2022 and Dec 2024, across 4 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 83% of everything it billed.

33Billing provider infoSOTO MARTINEZ, GUILLERMO
LAS MARIAS, PR 00670

33aNPI1801320247assigned 04/12/2017

33bProvider typeGeneral Practice Physician

28Total paid$620.60

24GClaims99

24DCodes billed4

24AFirst – last monthMar 2022 – Dec 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#731 of 1,195

Median peer was paid$2K

This provider vs. median0.3×

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
2022	64	$620.60
2024incomplete	35	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	83%	33	16	$516.30
99238	Hospital discharge day management, 30 minutes or less	17%	19	16	$104.30
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	0%	35	25	$0.00
99221		0%	12	12	$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.