Physician
Caban, Midalie
Caban, Midalie was paid $3K by Medicaid between Jan 2018 and Oct 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 77% of everything it billed.
33Billing provider infoCABAN, MIDALIE
MANATI, PR 00674
MANATI, PR 00674
33aNPI1801874789assigned 01/03/2006
33bProvider typeGeneral Practice Physician
28Total paid$3K
24GClaims3,844
24DCodes billed13
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#550 of 1,195
Median peer was paid$2K
This provider vs. median1.5×
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 | |
|---|---|---|---|
| 2018 | 1,372 | $586.00 | |
| 2019 | 500 | $136.50 | |
| 2020 | 178 | $111.48 | |
| 2021 | 426 | $1K | |
| 2022 | 451 | $445.08 | |
| 2023 | 498 | $761.86 | |
| 2024incomplete | 419 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 77% | 2,057 | 1,924 | $2K |
| 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 | 19% | 1,352 | 771 | $582.50 |
| 1158F | 2.3% | 38 | 27 | $72.00 | |
| 1157F | 2.2% | 35 | 26 | $68.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 46 | 27 | $0.00 |
| 1033F | 0% | 36 | 26 | $0.00 | |
| 1090F | 0% | 23 | 14 | $0.00 | |
| 1159F | 0% | 61 | 50 | $0.00 | |
| 1160F | 0% | 59 | 49 | $0.00 | |
| 82274 | 0% | 15 | 13 | $0.00 | |
| 3008F | 0% | 51 | 43 | $0.00 | |
| 1170F | 0% | 55 | 44 | $0.00 |
1 more codes
| 3017F | 0% | 16 | $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.