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

Fermin Valdez, Luis

Fermin Valdez, Luis was paid $6K by Medicaid between Dec 2020 and May 2023, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 95% of everything it billed.

33Billing provider infoFERMIN VALDEZ, LUIS
RIO GRANDE, PR 00745
33aNPI1871544304assigned 05/12/2006
28Total paid$6K
24GClaims3,266
24DCodes billed9
24AFirst – last monthDec 2020 – May 2023
Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#478 of 1,195
Median peer was paid$2K
This provider vs. median2.8×

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
202047$0.00
20211,542$5K
20221,198$557.06
2023479$369.26
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 95% 1,447 1,245 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 5.1% 298 283 $294.59
99334 0% 172 167 $0.00
3078F 0% 280 266 $0.00
99347 0% 20 19 $0.00
3079F 0% 62 62 $0.00
3008F 0% 487 443 $0.00
3074F 0% 486 448 $0.00
3048F 0% 14 14 $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.