Caraballo, Yessi

Caraballo, Yessi was paid $111K by Medicaid between Jan 2018 and Oct 2023, across 6 billing codes. Its largest line is 99218, — 67% of everything it billed.

33Billing provider infoCARABALLO, YESSI
FAJARDO, PR 00738

33aNPI1851555031assigned 07/16/2008

33bProvider typeGeneral Practice Physician

28Total paid$111K

24GClaims2,901

24DCodes billed6

24AFirst – last monthJan 2018 – Oct 2023

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#168 of 1,195

Median peer was paid$2K

This provider vs. median55×

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	497	$18K
2019	887	$36K
2020	563	$27K
2021	389	$13K
2022	363	$11K
2023	202	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99218		67%	1,310	1,170	$75K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	26%	850	814	$29K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	5.1%	662	630	$6K
99219		1.0%	14	14	$1K
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	51	49	$394.98
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	<1%	14	13	$202.83

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.