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

Pinero Pereira, Alfredo

Pinero Pereira, Alfredo was paid $109K by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.

33Billing provider infoPINERO PEREIRA, ALFREDO
CAROLINA, PR 00983
33aNPI1811052251assigned 12/26/2006
28Total paid$109K
24GClaims1,468
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Orthopaedic Surgery Physician providers in Puerto Rico

Rank by total paid#33 of 61
Median peer was paid$122K
This provider vs. median0.9×

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
201868$982.50
2020106$5K
202180$5K
2022167$10K
2023717$62K
2024incomplete330$27K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 67% 917 609 $73K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14% 151 134 $15K
76881 12% 194 148 $13K
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 6.7% 193 110 $7K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 13 12 $529.10

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.