Physician
Diaz Davila, Ismael
Diaz Davila, Ismael was paid $520K by Medicaid between Jul 2018 and Nov 2024, across 15 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 35% of everything it billed.
33Billing provider infoDIAZ DAVILA, ISMAEL
CAROLINA, PR 00982
CAROLINA, PR 00982
33aNPI1972931129assigned 10/25/2013
33bProvider typeGeneral Practice Physician
28Total paid$520K
24GClaims7,690
24DCodes billed15
24AFirst – last monthJul 2018 – Nov 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#40 of 1,195
Median peer was paid$2K
This provider vs. median254×
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 | 14 | $1K | |
| 2019 | 195 | $18K | |
| 2020 | 566 | $45K | |
| 2021 | 822 | $72K | |
| 2022 | 1,214 | $79K | |
| 2023 | 2,285 | $145K | |
| 2024incomplete | 2,594 | $159K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 35% | 1,223 | 1,115 | $179K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 20% | 1,260 | 1,067 | $105K |
| 99222 | Initial hospital care, per day, moderate complexity | 11% | 511 | 426 | $58K |
| 99219 | 9.9% | 603 | 585 | $51K | |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | 6.2% | 1,293 | 1,115 | $32K |
| 99234 | 4.0% | 223 | 216 | $21K | |
| 99236 | Prolong inpt eval add15 m | 3.9% | 105 | 50 | $21K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 3.8% | 1,016 | 864 | $20K |
| 99238 | Hospital discharge day management, 30 minutes or less | 3.0% | 244 | 182 | $16K |
| 96361 | Intravenous infusion, hydration; each additional hour | 2.0% | 753 | 668 | $11K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 249 | 213 | $2K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | <1% | 12 | 12 | $2K |
3 more codes
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.