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

Padilla, Jose

Padilla, Jose was paid $345K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.

33Billing provider infoPADILLA, JOSE
SAN JUAN, PR 00921
33aNPI1134235187assigned 08/22/2006
28Total paid$345K
24GClaims6,766
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Cardiovascular Disease Physician providers in Puerto Rico

Rank by total paid#56 of 174
Median peer was paid$109K
This provider vs. median3.2×

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$10K$20K2018201920202021202220232024
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
20181,041$32K
2019735$22K
2020196$9K
2021645$22K
2022576$19K
20231,927$131K
2024incomplete1,646$110K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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% 3,217 2,974 $164K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 35% 474 444 $120K
93000 15% 2,970 2,828 $53K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.3% 93 92 $8K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 12 12 $275.00

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.