Physician
Creales, Miguel
Creales, Miguel was paid $122K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoCREALES, MIGUEL
PONCE, PR 00730
PONCE, PR 00730
33aNPI1942224159assigned 07/27/2006
33bProvider typePsychiatry Physician
28Total paid$122K
24GClaims5,572
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Psychiatry Physician providers in Puerto Rico
Rank by total paid#1 of 64
Median peer was paid$479.90
This provider vs. median255×
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 | 1,466 | $46K | |
| 2019 | 1,289 | $44K | |
| 2020 | 574 | $15K | |
| 2021 | 80 | $0.00 | |
| 2022 | 179 | $0.00 | |
| 2023 | 835 | $13K | |
| 2024incomplete | 1,149 | $4K |
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 | 53% | 2,506 | 2,243 | $64K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 39% | 2,587 | 2,303 | $48K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.3% | 223 | 192 | $5K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 3.1% | 118 | 115 | $4K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 64 | 56 | $895.84 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 74 | 74 | $461.30 |
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.