Jimenez, Maria

Jimenez, Maria was paid $95K by Medicaid between Aug 2021 and Oct 2024, across 3 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 52% of everything it billed.

33Billing provider infoJIMENEZ, MARIA
SAN JUAN, PR 00919

33aNPI1194929224assigned 06/13/2007

33bProvider typePediatrics Physician

28Total paid$95K

24GClaims963

24DCodes billed3

24AFirst – last monthAug 2021 – Oct 2024

Compared with peers

Next to other Pediatrics Physician providers in Puerto Rico

Rank by total paid#45 of 194

Median peer was paid$7K

This provider vs. median14×

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
2021	27	$1K
2022	154	$14K
2023	275	$31K
2024incomplete	507	$48K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	52%	420	334	$49K
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	45%	485	366	$43K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.2%	58	55	$3K

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.