Pagan, Luis

Pagan, Luis was paid $353K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 45% of everything it billed.

33Billing provider infoPAGAN, LUIS
CABO ROJO, PR 00623

33aNPI1962589911assigned 11/01/2006

33bProvider typeCardiovascular Disease Physician

28Total paid$353K

24GClaims5,116

24DCodes billed8

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Cardiovascular Disease Physician providers in Puerto Rico

Rank by total paid#55 of 174

Median peer was paid$109K

This provider vs. median3.2×

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	1,318	$75K
2019	898	$29K
2020	507	$29K
2021	669	$54K
2022	652	$52K
2023	587	$55K
2024incomplete	485	$60K

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	45%	596	546	$157K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	35%	2,708	2,501	$123K
99223	Prolong inpt eval add15 m	7.9%	354	338	$28K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	5.3%	338	306	$19K
93000		3.5%	634	583	$13K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	3.4%	452	429	$12K
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%	22	13	$2K
99441		<1%	12	12	$237.86

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.