Physician
Gilberto Baez Rios MD PSC
Gilberto Baez Rios MD PSC was paid $65K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 30% of everything it billed.
33Billing provider infoGILBERTO BAEZ RIOS MD PSC
MAYAGUEZ, PR 00680
MAYAGUEZ, PR 00680
33aNPI1952646770assigned 12/05/2012
33bProvider typeCardiovascular Disease Physician
28Total paid$65K
24GClaims1,146
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in Puerto Rico
Rank by total paid#97 of 174
Median peer was paid$109K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2018 | 304 | $12K | |
| 2021 | 29 | $3K | |
| 2022 | 191 | $11K | |
| 2023 | 355 | $21K | |
| 2024incomplete | 267 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 30% | 87 | 73 | $20K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 288 | 255 | $19K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 17% | 133 | 112 | $11K |
| 93000 | 17% | 513 | 432 | $11K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4.9% | 97 | 78 | $3K |
| 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 | 1.2% | 28 | 24 | $801.75 |
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.
From NPPES
Who's on the registration
Authorized officialBAEZ-RIOS, GILBERTO (OWNER)