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
RINCON, PR 00677
33aNPI1902871122assigned 02/21/2006
33bProvider typeGeneral Practice Physician
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
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 | 1,279 | $38.04 | |
| 2019 | 886 | $0.00 | |
| 2020 | 989 | $0.00 | |
| 2021 | 1,016 | $32.47 | |
| 2022 | 1,183 | $0.00 | |
| 2023 | 1,685 | $0.00 | |
| 2024incomplete | 2,526 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.