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

Arruza Elias, Michael

Arruza Elias, Michael was paid $54K by Medicaid between Apr 2018 and Nov 2024, across 3 billing codes. Its largest line is 31231, — 53% of everything it billed.

33Billing provider infoARRUZA ELIAS, MICHAEL
CAGUAS, PR 00725
33aNPI1861473837assigned 11/08/2005
33bProvider typeOtolaryngology Physician
28Total paid$54K
24GClaims395
24DCodes billed3
24AFirst – last monthApr 2018 – Nov 2024
Compared with peers

Next to other Otolaryngology Physician providers in Puerto Rico

Rank by total paid#16 of 29
Median peer was paid$79K
This provider vs. median0.7×

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$20K$40K2018201920202021202220232024
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
201816$955.84
2024incomplete379$53K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
31231 53% 156 35 $29K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 45% 223 64 $24K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.8% 16 14 $955.84

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.