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

Perez Pabon, Miriam

Perez Pabon, Miriam was paid $5K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 64% of everything it billed.

33Billing provider infoPEREZ PABON, MIRIAM
CATANO, PR 00962
33aNPI1861581712assigned 10/11/2006
28Total paid$5K
24GClaims8,230
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#493 of 1,195
Median peer was paid$2K
This provider vs. median2.4×

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

$0$2.0K$4.0K2018201920202021202220232024
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
2018456$59.74
2019188$0.00
2020418$1K
2021467$0.00
20221,814$0.00
20232,688$585.00
2024incomplete2,199$3K
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 64% 72 14 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 35% 48 47 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.2% 3,210 2,578 $59.74
99441 <1% 35 34 $12.68
1159F 0% 1,190 967 $0.00
1160F 0% 1,190 967 $0.00
3078F 0% 521 413 $0.00
3074F 0% 444 359 $0.00
1126F 0% 297 213 $0.00
3008F 0% 1,158 961 $0.00
1125F 0% 65 58 $0.00

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.