Morales Pagan, Carlos

Morales Pagan, Carlos was paid $8K by Medicaid between Jan 2018 and Dec 2021, across 10 billing codes. Its largest line is 0011A, — 52% of everything it billed.

33Billing provider infoMORALES PAGAN, CARLOS
MANATI, PR 00674

33aNPI1982600250assigned 06/22/2005

33bProvider typeGeneral Practice Physician

28Total paid$8K

24GClaims823

24DCodes billed10

24AFirst – last monthJan 2018 – Dec 2021

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#429 of 1,195

Median peer was paid$2K

This provider vs. median4.1×

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

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	273	$403.72
2021	550	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
0011A		52%	151	150	$4K
0012A		42%	91	91	$4K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.6%	172	129	$303.80
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.2%	32	32	$104.16
1157F		1.2%	33	26	$99.92
91301		0%	244	243	$0.00
1170F		0%	32	25	$0.00
96160		0%	32	32	$0.00
1159F		0%	18	12	$0.00
1160F		0%	18	12	$0.00

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.