Borrego Conde, Luis

Borrego Conde, Luis was paid $168K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 82% of everything it billed.

33Billing provider infoBORREGO CONDE, LUIS
SAN JUAN, PR 00917

33aNPI1972553824assigned 05/11/2006

33bProvider typeInternal Medicine Physician

28Total paid$168K

24GClaims4,046

24DCodes billed6

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#89 of 518

Median peer was paid$5K

This provider vs. median34×

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	235	$3K
2019	705	$9K
2020	577	$22K
2021	639	$32K
2022	648	$34K
2023	527	$26K
2024incomplete	715	$42K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	82%	3,226	758	$137K
99222	Initial hospital care, per day, moderate complexity	8.4%	167	161	$14K
99238	Hospital discharge day management, 30 minutes or less	4.2%	140	131	$7K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.9%	101	100	$7K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	284	278	$1K
99245		<1%	128	125	$1K

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.