Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Badillo Hernandez, Jose

Badillo Hernandez, Jose was paid $9K by Medicaid between Jan 2018 and May 2022, across 5 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 73% of everything it billed.

33Billing provider infoBADILLO HERNANDEZ, JOSE
AGUADILLA, PR 00603
33aNPI1093025884assigned 10/14/2010
28Total paid$9K
24GClaims11,011
24DCodes billed5
24AFirst – last monthJan 2018 – May 2022
Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#427 of 1,195
Median peer was paid$2K
This provider vs. median4.2×

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$1.0K$2.0K2018201920202021202220232024
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
20182,693$0.00
20192,268$0.00
20202,394$4K
20212,879$4K
2022777$771.87
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 73% 1,190 1,024 $6K
99441 27% 2,968 2,426 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 0% 3,587 3,238 $0.00
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 0% 2,791 2,324 $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% 475 408 $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.