Physician
Serrano, Francisco
Serrano, Francisco was paid $119K by Medicaid between Jan 2018 and Oct 2024, across 16 billing codes. Its largest line is 99283, emergency room visit (moderate) — 59% of everything it billed.
33Billing provider infoSERRANO, FRANCISCO
GUAYNABO, PR 00969
GUAYNABO, PR 00969
33aNPI1851431332assigned 02/07/2007
33bProvider typeGeneral Practice Physician
28Total paid$119K
24GClaims7,275
24DCodes billed16
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#159 of 1,195
Median peer was paid$2K
This provider vs. median58×
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 | 1,505 | $11K | |
| 2019 | 847 | $13K | |
| 2020 | 534 | $15K | |
| 2021 | 708 | $28K | |
| 2022 | 961 | $33K | |
| 2023 | 885 | $17K | |
| 2024incomplete | 1,835 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 59% | 2,357 | 2,257 | $70K |
| 99218 | 29% | 518 | 502 | $35K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 8.5% | 829 | 790 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 1,644 | 1,385 | $2K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 1.0% | 15 | 15 | $1K |
| 96160 | <1% | 20 | 19 | $720.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,340 | 1,057 | $257.20 |
| 99442 | <1% | 30 | 29 | $54.74 | |
| 99201 | 0% | 92 | 68 | $0.00 | |
| 3078F | 0% | 122 | 119 | $0.00 | |
| 3074F | 0% | 113 | 108 | $0.00 | |
| 3079F | 0% | 69 | 68 | $0.00 |
4 more codes
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.