Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Vale Colon, Oscar

Vale Colon, Oscar was paid $2K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 47% of everything it billed.

33Billing provider infoVALE COLON, OSCAR
MOCA, PR 00676
33aNPI1841289451assigned 10/17/2005
33bProvider typeSpecialist
28Total paid$2K
24GClaims2,141
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Specialist providers in Puerto Rico

Rank by total paid#231 of 316
Median peer was paid$26K
This provider vs. median0.1×

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$250$500$7502018201920202021202220232024
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
2018253$0.00
2019203$0.00
2020248$572.47
2021301$986.07
2022224$39.97
2024incomplete912$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 47% 26 25 $745.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 34% 25 25 $540.00
99238 Hospital discharge day management, 30 minutes or less 13% 12 12 $208.60
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6.6% 1,513 1,249 $104.91
3074F 0% 274 129 $0.00
3078F 0% 291 137 $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.