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

Prats, Luis

Prats, Luis was paid $70.51 by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 54% of everything it billed.

33Billing provider infoPRATS, LUIS
RINCON, PR 00677
33aNPI1902871122assigned 02/21/2006
28Total paid$70.51
24GClaims9,564
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#863 of 1,195
Median peer was paid$2K
This provider vs. median0.0×

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$20$402018201920202021202220232024
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
20181,279$38.04
2019886$0.00
2020989$0.00
20211,016$32.47
20221,183$0.00
20231,685$0.00
2024incomplete2,526$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 54% 753 617 $38.04
99441 46% 1,548 1,317 $32.47
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 0% 5,339 4,262 $0.00
3074F 0% 927 680 $0.00
3017F 0% 42 27 $0.00
3048F 0% 19 12 $0.00
3078F 0% 909 670 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 0% 27 26 $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.