Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › Caguas › NPI 1801858675
Physician

Guerrero, Andres

Guerrero, Andres was paid $33K by Medicaid between Oct 2019 and Nov 2024, across 5 billing codes. Its largest line is 99222, Initial hospital care, per day, moderate complexity — 58% of everything it billed.

33Billing provider infoGUERRERO, ANDRES
CAGUAS, PR 00725
33aNPI1801858675assigned 04/05/2006
33bProvider typeSurgery Physician
28Total paid$33K
24GClaims391
24DCodes billed5
24AFirst – last monthOct 2019 – Nov 2024
Compared with peers

Next to other Surgery Physician providers in Puerto Rico

Rank by total paid#54 of 111
Median peer was paid$28K
This provider vs. median1.2×

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
201926$988.28
202074$2K
202226$2K
202354$4K
2024incomplete211$23K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99222 Initial hospital care, per day, moderate complexity 58% 161 81 $19K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 25% 92 45 $8K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 8.4% 86 38 $3K
99253 4.2% 38 31 $1K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.8% 14 12 $1K

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.