Paoli Breban, Waldemar
Paoli Breban, Waldemar was paid $3K by Medicaid between Jun 2019 and May 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 99% of everything it billed.
33Billing provider infoPAOLI BREBAN, WALDEMAR
SANTA ISABEL, PR 00757
SANTA ISABEL, PR 00757
33aNPI1932265246assigned 12/29/2006
33bProvider typeSpecialist
28Total paid$3K
24GClaims10,165
24DCodes billed14
24AFirst – last monthJun 2019 – May 2024
Compared with peers
Next to other Specialist providers in Puerto Rico
Rank by total paid#216 of 316
Median peer was paid$26K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2019 | 1,002 | $0.00 | |
| 2020 | 1,885 | $23.00 | |
| 2021 | 2,659 | $160.47 | |
| 2022 | 2,864 | $64.94 | |
| 2023 | 1,666 | $2K | |
| 2024incomplete | 89 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 99% | 3,406 | 2,912 | $3K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 591 | 466 | $23.00 |
| 1125F | 0% | 868 | 810 | $0.00 | |
| 3008F | 0% | 1,548 | 1,449 | $0.00 | |
| 3074F | 0% | 341 | 305 | $0.00 | |
| 1170F | 0% | 13 | 13 | $0.00 | |
| 3048F | 0% | 55 | 55 | $0.00 | |
| 3017F | 0% | 28 | 28 | $0.00 | |
| 3049F | 0% | 25 | 25 | $0.00 | |
| 1126F | 0% | 14 | 14 | $0.00 | |
| 3268F | 0% | 13 | 13 | $0.00 | |
| 1160F | 0% | 1,490 | 1,404 | $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.