Mathews Bermudez, Melvin

Mathews Bermudez, Melvin was paid $216K by Medicaid between Jan 2018 and Aug 2022, across 12 billing codes. Its largest line is 20550, — 27% of everything it billed.

33Billing provider infoMATHEWS BERMUDEZ, MELVIN
MANATI, PR 00674

33aNPI1831297530assigned 09/20/2006

33bProvider typePodiatrist

28Total paid$216K

24GClaims5,429

24DCodes billed12

24AFirst – last monthJan 2018 – Aug 2022

Compared with peers

Next to other Podiatrist providers in Puerto Rico

Rank by total paid#3 of 17

Median peer was paid$62K

This provider vs. median3.5×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (09/20/2022).

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	1,434	$42K
2019	1,001	$25K
2020	1,123	$50K
2021	1,280	$68K
2022	591	$32K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
20550		27%	1,639	1,104	$58K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	21%	950	876	$46K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	13%	415	396	$28K
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	9.2%	990	902	$20K
11730		8.7%	345	260	$19K
11750		7.1%	239	221	$15K
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	6.7%	575	566	$14K
10140		5.3%	113	111	$11K
11305		<1%	35	32	$2K
99335		<1%	18	18	$1K
11732		<1%	26	26	$250.00
11721		<1%	84	83	$204.60

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.