Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Piquer, Pedro

Piquer, Pedro was paid $535K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 32% of everything it billed.

33Billing provider infoPIQUER, PEDRO
BAYAMON, PR 00960
33aNPI1962464081assigned 04/04/2006
33bProvider typeUrology Physician
28Total paid$535K
24GClaims10,096
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Urology Physician providers in Puerto Rico

Rank by total paid#4 of 62
Median peer was paid$25K
This provider vs. median22×

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$5.0K$10K$15K2018201920202021202220232024
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
20182,889$100K
20191,640$47K
20201,438$91K
20211,308$108K
20221,131$71K
2023802$50K
2024incomplete888$69K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 32% 4,643 4,190 $171K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27% 2,372 2,318 $142K
99205 Prolong outpt/office vis 15% 1,516 1,454 $80K
52000 12% 426 412 $62K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 11% 702 687 $57K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.4% 318 278 $13K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 69 66 $4K
55700 <1% 13 13 $2K
99222 Initial hospital care, per day, moderate complexity <1% 24 24 $2K
76942 <1% 13 13 $759.02

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.