Betances, Jose Alberto

Betances, Jose Alberto was paid $50K by Medicaid between Mar 2018 and Jun 2022, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.

33Billing provider infoBETANCES, JOSE ALBERTO
STOUGHTON, MA 02072

33aNPI1134110810assigned 11/02/2005

33bProvider typePediatrics Physician

28Total paid$50K

24GClaims763

24DCodes billed6

24AFirst – last monthMar 2018 – Jun 2022

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#494 of 1,273

Median peer was paid$24K

This provider vs. median2.1×

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	168	$13K
2019	282	$15K
2020	138	$9K
2021	132	$11K
2022	43	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	48%	297	290	$24K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	23%	65	64	$11K
90460	Immunization administration through 18 years of age via any route, first or only component	14%	201	119	$7K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	9.0%	151	151	$5K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	5.7%	37	35	$3K
96127		<1%	12	12	$230.27

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.