Guzman-Perez, Humberto

Guzman-Perez, Humberto was paid $415K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 60% of everything it billed.

33Billing provider infoGUZMAN-PEREZ, HUMBERTO
SAN JUAN, PR 00907

33aNPI1851596043assigned 06/18/2007

33bProvider typeOrthopaedic Surgery Physician

28Total paid$415K

24GClaims6,011

24DCodes billed4

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Puerto Rico

Rank by total paid#7 of 61

Median peer was paid$122K

This provider vs. median3.4×

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	694	$14K
2019	565	$16K
2020	679	$35K
2021	892	$54K
2022	890	$58K
2023	1,167	$126K
2024incomplete	1,124	$111K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	60%	3,329	2,918	$250K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	28%	1,903	1,587	$115K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	12%	766	658	$49K
29705		<1%	13	13	$835.12

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.