Physician
Soto Cruz, Lemuel
Soto Cruz, Lemuel was paid $190.00 by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 71% of everything it billed.
33Billing provider infoSOTO CRUZ, LEMUEL
MOCA, PR 00676
MOCA, PR 00676
33aNPI1982645057assigned 06/09/2006
33bProvider typeGeneral Practice Physician
28Total paid$190.00
24GClaims212
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#816 of 1,195
Median peer was paid$2K
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
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 | 89 | $55.00 | |
| 2023 | 15 | $135.00 | |
| 2024incomplete | 108 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 71% | 15 | 14 | $135.00 |
| 1158F | 29% | 15 | 15 | $55.00 | |
| 3008F | 0% | 17 | 17 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 51 | 49 | $0.00 |
| 1170F | 0% | 15 | 15 | $0.00 | |
| 1160F | 0% | 15 | 15 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 72 | 69 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 12 | 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.