Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › Guayama › NPI 1831538271
Physician

Suero - Lora, Jens

Suero - Lora, Jens was paid $16K by Medicaid between Feb 2019 and Apr 2022, across 3 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 47% of everything it billed.

33Billing provider infoSUERO - LORA, JENS
GUAYAMA, PR 00784
33aNPI1831538271assigned 06/19/2013
33bProvider typeNeurology Physician
28Total paid$16K
24GClaims335
24DCodes billed3
24AFirst – last monthFeb 2019 – Apr 2022
Compared with peers

Next to other Neurology Physician providers in Puerto Rico

Rank by total paid#23 of 45
Median peer was paid$16K
This provider vs. median1.0×

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$2.0K$4.0K2018201920202021202220232024
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
2019148$3K
2020175$11K
202212$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 47% 54 53 $7K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 44% 223 216 $7K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 8.9% 58 56 $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.