Jimenez-Cruz, Juan

Jimenez-Cruz, Juan was paid $61K by Medicaid between Feb 2018 and Oct 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.

33Billing provider infoJIMENEZ-CRUZ, JUAN
MAYAGUEZ, PR 00680

33aNPI1144388893assigned 12/05/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$61K

24GClaims1,535

24DCodes billed2

24AFirst – last monthFeb 2018 – Oct 2024

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Puerto Rico

Rank by total paid#86 of 185

Median peer was paid$53K

This provider vs. median1.1×

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	311	$6K
2019	314	$4K
2020	151	$4K
2021	264	$13K
2022	136	$7K
2023	101	$7K
2024incomplete	258	$19K

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	68%	1,300	859	$42K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	32%	235	168	$19K

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.