Garcia Lugo, Jose

Garcia Lugo, Jose was paid $11K by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 58% of everything it billed.

33Billing provider infoGARCIA LUGO, JOSE
TOA BAJA, PR 00949

33aNPI1245395862assigned 12/26/2006

33bProvider typeGeneral Practice Physician

28Total paid$11K

24GClaims8,740

24DCodes billed5

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#396 of 1,195

Median peer was paid$2K

This provider vs. median5.4×

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	1,228	$149.69
2019	1,262	$99.50
2020	1,046	$1K
2021	1,534	$6K
2022	1,286	$2K
2023	1,389	$2K
2024incomplete	995	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	58%	175	172	$6K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	31%	7,300	5,508	$3K
99442		9.7%	1,185	1,012	$1K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.1%	68	59	$126.00
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	12	12	$23.69

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.