Diaz, Carlos

Diaz, Carlos was paid $56K by Medicaid between Jan 2018 and Nov 2022, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 78% of everything it billed.

33Billing provider infoDIAZ, CARLOS
BAYAMON, PR 00956

33aNPI1972637767assigned 03/15/2007

33bProvider typeObstetrics Physician

28Total paid$56K

24GClaims4,230

24DCodes billed7

24AFirst – last monthJan 2018 – Nov 2022

Compared with peers

Next to other Obstetrics Physician providers in Puerto Rico

Rank by total paid#13 of 17

Median peer was paid$163K

This provider vs. median0.3×

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	1,891	$27K
2019	642	$5K
2020	407	$8K
2021	732	$12K
2022	558	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	78%	2,789	1,951	$44K
59025	Fetal non-stress test	8.9%	247	85	$5K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	5.0%	870	754	$3K
76830	Ultrasound, transvaginal	2.6%	168	168	$1K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	2.2%	48	30	$1K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.2%	56	40	$1K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	1.2%	52	52	$669.78

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.