Physician
Hussein, Esam
Hussein, Esam was paid $66K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 86% of everything it billed.
33Billing provider infoHUSSEIN, ESAM
BAYAMON, PR 00959
BAYAMON, PR 00959
33aNPI1932470903assigned 01/23/2012
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$66K
24GClaims29,889
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Puerto Rico
Rank by total paid#3 of 18
Median peer was paid$1K
This provider vs. median59×
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 | 3,963 | $7K | |
| 2019 | 4,619 | $10K | |
| 2020 | 3,589 | $17K | |
| 2021 | 4,725 | $15K | |
| 2022 | 4,535 | $12K | |
| 2023 | 5,103 | $4K | |
| 2024incomplete | 3,355 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 86% | 29,190 | 21,982 | $57K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.7% | 340 | 240 | $6K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.9% | 257 | 253 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.8% | 47 | 45 | $1K |
| 96160 | 1.4% | 26 | 26 | $900.00 | |
| 99441 | 0% | 29 | 29 | $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.