Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Medina, Sixto

Medina, Sixto was paid $6K by Medicaid between Dec 2020 and Mar 2022, across 4 billing codes. Its largest line is 99490, Ccm add 20min — 41% of everything it billed.

33Billing provider infoMEDINA, SIXTO
BAYAMON, PR 00956
33aNPI1982151585assigned 09/01/2016
28Total paid$6K
24GClaims587
24DCodes billed4
24AFirst – last monthDec 2020 – Mar 2022
Compared with peers

Next to other Student in an Organized Health Care Education/Training Program providers in Puerto Rico

Rank by total paid#52 of 77
Median peer was paid$39K
This provider vs. median0.1×

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$500$1.0K$1.5K2018201920202021202220232024
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
202022$94.25
2021470$4K
202295$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99490 Ccm add 20min 41% 402 402 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 34% 77 76 $2K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 24% 81 80 $1K
99439 <1% 27 27 $51.32

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.