Calderon, Jorge

Calderon, Jorge was paid $268K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99235, — 40% of everything it billed.

33Billing provider infoCALDERON, JORGE
CIDRA, PR 00739

33aNPI1194850289assigned 02/22/2007

33bProvider typeGeneral Practice Physician

28Total paid$268K

24GClaims5,494

24DCodes billed7

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#87 of 1,195

Median peer was paid$2K

This provider vs. median131×

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	1,226	$24K
2019	984	$20K
2020	698	$31K
2021	731	$36K
2022	652	$33K
2023	562	$50K
2024incomplete	641	$73K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99235		40%	939	794	$109K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	31%	2,962	2,796	$83K
99234		17%	682	664	$46K
99219		6.5%	303	276	$17K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	4.6%	299	286	$12K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	268	244	$2K
76140		0%	41	41	$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.