Physician
Altamar, Gustavo
Altamar, Gustavo was paid $7K by Medicaid between Jan 2018 and Feb 2019, across 10 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 72% of everything it billed.
33Billing provider infoALTAMAR, GUSTAVO
RIO PIEDRAS, PR 00936
RIO PIEDRAS, PR 00936
33aNPI1992908461assigned 06/11/2007
33bProvider typeInternal Medicine Physician
28Total paid$7K
24GClaims551
24DCodes billed10
24AFirst – last monthJan 2018 – Feb 2019
Compared with peers
Next to other Internal Medicine Physician providers in Puerto Rico
Rank by total paid#251 of 518
Median peer was paid$5K
This provider vs. median1.4×
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 | 496 | $7K | |
| 2019 | 55 | $12.12 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 72% | 165 | 66 | $5K |
| 99243 | 13% | 28 | 28 | $941.00 | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 9.5% | 35 | 17 | $675.00 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 5.1% | 127 | 120 | $364.75 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 26 | 25 | $0.00 |
| 96160 | 0% | 25 | 13 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 25 | 13 | $0.00 |
| 1159F | 0% | 14 | 14 | $0.00 | |
| 1160F | 0% | 13 | 12 | $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% | 93 | 89 | $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.