Serrano, Jose

Serrano, Jose was paid $21K by Medicaid between May 2018 and Oct 2023, across 6 billing codes. Its largest line is 99218, — 83% of everything it billed.

33Billing provider infoSERRANO, JOSE
CAROLINA, PR 00983

33aNPI1164678926assigned 08/13/2008

33bProvider typeEmergency Medicine Physician

28Total paid$21K

24GClaims917

24DCodes billed6

24AFirst – last monthMay 2018 – Oct 2023

Compared with peers

Next to other Emergency Medicine Physician providers in Puerto Rico

Rank by total paid#21 of 46

Median peer was paid$14K

This provider vs. median1.5×

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	179	$3K
2019	679	$16K
2020	44	$1K
2023	15	$350.52

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99218		83%	662	439	$17K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	11%	114	92	$2K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	1.9%	43	36	$400.00
99282	Emergency department visit for the evaluation and management, low to moderate severity	1.6%	28	27	$330.00
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	1.2%	55	42	$246.45
99219		<1%	15	15	$120.00

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.