Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
20181,466$46K
20191,289$44K
2020574$15K
202180$0.00
2022179$0.00
2023835$13K
2024incomplete1,149$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.