Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › Guayama › NPI 1003856774
Physician

Robles, Jorge

Robles, Jorge was paid $1.45M by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 99222, Initial hospital care, per day, moderate complexity — 23% of everything it billed.

33Billing provider infoROBLES, JORGE
GUAYAMA, PR 00784
33aNPI1003856774assigned 06/08/2006
33bProvider typeAnesthesiology Physician
28Total paid$1.45M
24GClaims27,375
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Anesthesiology Physician providers in Puerto Rico

Rank by total paid#5 of 42
Median peer was paid$286K
This provider vs. median5.1×

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$20K$40K$60K2018201920202021202220232024
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
20184,478$132K
20193,787$119K
20203,429$150K
20214,848$238K
20222,906$180K
20234,450$305K
2024incomplete3,477$324K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99222 Initial hospital care, per day, moderate complexity 23% 4,076 3,823 $331K
99157 17% 2,135 1,774 $245K
99156 15% 2,145 1,773 $210K
93000 14% 7,565 6,839 $210K
99070 9.4% 5,989 5,554 $136K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 9.2% 2,818 2,710 $133K
47562 5.3% 314 283 $77K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.6% 484 446 $23K
99255 1.5% 477 446 $21K
59515 1.4% 66 66 $21K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 1.0% 73 68 $15K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 921 864 $13K
4 more codes
99253 <1% 159 $5K
65426 <1% 21 $4K
99245 <1% 90 $3K
99221 <1% 42 $2K

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.