Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1891351417assigned 05/20/2019
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

$0$1.0K$2.0K2018201920202021202220232024
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
202229$334.50
202382$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.