Hernandez Flores, Victor

Hernandez Flores, Victor was paid $196K by Medicaid between Jan 2018 and Oct 2024, across 13 billing codes. Its largest line is 99220, — 58% of everything it billed.

33Billing provider infoHERNANDEZ FLORES, VICTOR
CAYEY, PR 00737

33aNPI1902937410assigned 03/08/2007

33bProvider typeGeneral Practice Physician

28Total paid$196K

24GClaims4,423

24DCodes billed13

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#118 of 1,195

Median peer was paid$2K

This provider vs. median96×

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	1,103	$36K
2019	1,137	$81K
2020	721	$43K
2021	383	$13K
2022	291	$10K
2023	284	$2K
2024incomplete	504	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99220		58%	1,129	942	$114K
99218		16%	824	747	$31K
99235		13%	444	419	$25K
99234		6.5%	275	220	$13K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	3.9%	1,187	1,033	$8K
99217		1.3%	58	56	$2K
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	23	23	$880.00
99219		<1%	18	18	$780.78
99238	Hospital discharge day management, 30 minutes or less	<1%	14	14	$749.60
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	<1%	106	105	$497.43
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	305	303	$277.04
3074F		0%	14	14	$0.00

1 more codes

3079F

$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.