Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Sotomayor, Luis

Sotomayor, Luis was paid $375K by Medicaid between Jun 2018 and Nov 2024, across 4 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 60% of everything it billed.

33Billing provider infoSOTOMAYOR, LUIS
HATILLO, PR 00659
33aNPI1851462691assigned 11/13/2006
28Total paid$375K
24GClaims3,465
24DCodes billed4
24AFirst – last monthJun 2018 – Nov 2024
Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#38 of 518
Median peer was paid$5K
This provider vs. median75×

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$10K$20K2018201920202021202220232024
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
201875$3K
2019252$12K
2020419$37K
2021788$87K
2022556$69K
2023536$63K
2024incomplete839$105K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 60% 1,327 1,001 $227K
99222 Initial hospital care, per day, moderate complexity 25% 978 854 $95K
99238 Hospital discharge day management, 30 minutes or less 14% 1,146 1,021 $53K
99221 <1% 14 13 $350.00

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.