Physician
Gerena Candal, Cesar
Gerena Candal, Cesar was paid $6K by Medicaid between Aug 2022 and Nov 2023, across 2 billing codes. Its largest line is 99234, — 84% of everything it billed.
33Billing provider infoGERENA CANDAL, CESAR
TOA BAJA, PR 00949
TOA BAJA, PR 00949
33aNPI1891351417assigned 05/20/2019
33bProvider typeGeneral Practice Physician
28Total paid$6K
24GClaims111
24DCodes billed2
24AFirst – last monthAug 2022 – Nov 2023
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#463 of 1,195
Median peer was paid$2K
This provider vs. median3.1×
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 | |
|---|---|---|---|
| 2022 | 29 | $334.50 | |
| 2023 | 82 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99234 | 84% | 67 | 60 | $5K | |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 16% | 44 | 44 | $1K |
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.