Physician
Figueroa-Pinto, Mervin
Figueroa-Pinto, Mervin was paid $1.53M by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 45385, Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) — 36% of everything it billed.
33Billing provider infoFIGUEROA-PINTO, MERVIN
CAROLINA, PR 00987
CAROLINA, PR 00987
33aNPI1891928123assigned 09/03/2009
33bProvider typeGastroenterology Physician
28Total paid$1.53M
24GClaims7,650
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in Puerto Rico
Rank by total paid#6 of 107
Median peer was paid$47K
This provider vs. median33×
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 | |
|---|---|---|---|
| 2018 | 933 | $114K | |
| 2019 | 1,228 | $181K | |
| 2020 | 897 | $189K | |
| 2021 | 1,676 | $390K | |
| 2022 | 1,904 | $453K | |
| 2023 | 961 | $195K | |
| 2024incomplete | 51 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 36% | 1,097 | 1,060 | $552K |
| 43251 | 19% | 1,056 | 835 | $293K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 17% | 1,052 | 1,009 | $268K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 17% | 1,091 | 1,062 | $258K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.5% | 2,201 | 2,093 | $100K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.9% | 1,125 | 986 | $59K |
| 99223 | Prolong inpt eval add15 m | <1% | 28 | 27 | $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.