Valdivieso, Alfred

Valdivieso, Alfred was paid $310K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 42% of everything it billed.

33Billing provider infoVALDIVIESO, ALFRED
SAN JUAN, PR 00909

33aNPI1811198922assigned 05/29/2007

33bProvider typeGeneral Practice Physician

28Total paid$310K

24GClaims3,291

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#78 of 1,195

Median peer was paid$2K

This provider vs. median152×

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	232	$5K
2019	312	$15K
2020	334	$30K
2021	304	$33K
2022	308	$42K
2023	709	$78K
2024incomplete	1,092	$107K

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	42%	910	720	$130K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	39%	1,149	997	$122K
99238	Hospital discharge day management, 30 minutes or less	8.7%	462	362	$27K
99222	Initial hospital care, per day, moderate complexity	3.4%	165	142	$11K
99231	Subsequent hospital care, per day, straightforward or low complexity	2.4%	117	91	$7K
99223	Prolong inpt eval add15 m	1.5%	229	223	$5K
99220		1.2%	45	44	$4K
99218		<1%	59	37	$2K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	<1%	68	59	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	27	27	$507.24
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	60	60	$408.00

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.