Aviles, Juan

Aviles, Juan was paid $276K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 99219, — 51% of everything it billed.

33Billing provider infoAVILES, JUAN
RIO PIEDRAS, PR 00936

33aNPI1922412972assigned 06/18/2014

33bProvider typeInternal Medicine Physician

28Total paid$276K

24GClaims3,634

24DCodes billed9

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#57 of 518

Median peer was paid$5K

This provider vs. median55×

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	1,053	$52K
2019	957	$75K
2020	438	$51K
2021	71	$5K
2022	537	$46K
2023	164	$14K
2024incomplete	414	$34K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99219		51%	2,105	1,796	$140K
99220		21%	468	438	$59K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	9.2%	497	135	$25K
99223	Prolong inpt eval add15 m	8.1%	165	146	$22K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	7.9%	243	52	$22K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	1.1%	35	35	$3K
99234		<1%	31	31	$2K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	<1%	78	73	$1K
99218		<1%	12	12	$785.40

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.