Torres Aguilar, Luis

Torres Aguilar, Luis was paid $18K by Medicaid between Nov 2020 and Oct 2024, across 5 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 98% of everything it billed.

33Billing provider infoTORRES AGUILAR, LUIS
SAN SEBASTIAN, PR 00685

33aNPI1932620671assigned 07/03/2017

33bProvider typeGeneral Practice Physician

28Total paid$18K

24GClaims3,717

24DCodes billed5

24AFirst – last monthNov 2020 – Oct 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#357 of 1,195

Median peer was paid$2K

This provider vs. median8.6×

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
2020	15	$0.00
2021	811	$10K
2022	738	$3K
2023	1,112	$5K
2024incomplete	1,041	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	98%	665	587	$17K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	<1%	369	359	$117.30
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	79	72	$85.64
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%	2,590	2,103	$69.26
99442		0%	14	13	$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.