Managed care
JD Med Group, INC.
JD Med Group, INC. was paid $10K by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 45% of everything it billed.
33Billing provider infoJD MED GROUP, INC.
JUANA DIAZ, PR 00795
JUANA DIAZ, PR 00795
33aNPI1285879635assigned 12/12/2008
33bProvider typeHealth Maintenance Organization
28Total paid$10K
24GClaims32,630
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Health Maintenance Organization providers in Puerto Rico
Rank by total paid#24 of 37
Median peer was paid$25K
This provider vs. median0.4×
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 | 5,701 | $84.48 | |
| 2019 | 5,526 | $288.48 | |
| 2020 | 3,544 | $1K | |
| 2021 | 4,198 | $1K | |
| 2022 | 4,091 | $2K | |
| 2023 | 5,004 | $5K | |
| 2024incomplete | 4,566 | $803.32 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 45% | 18,199 | 14,541 | $4K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 20% | 568 | 546 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 4,467 | 3,828 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 7.6% | 660 | 603 | $740.00 |
| 99441 | 7.6% | 1,043 | 942 | $735.17 | |
| 96112 | 2.6% | 16 | 14 | $253.48 | |
| 99442 | 1.3% | 77 | 63 | $126.56 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 625 | 515 | $76.32 |
| 99402 | <1% | 150 | 148 | $70.08 | |
| 96160 | <1% | 362 | 356 | $15.79 | |
| 99173 | <1% | 71 | 71 | $2.00 | |
| 96127 | 0% | 59 | 59 | $0.00 |
17 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 1,274 | $0.00 |
| 3074F | 0% | 97 | $0.00 | |
| 99217 | 0% | 198 | $0.00 | |
| 1126F | 0% | 16 | $0.00 | |
| 3008F | 0% | 21 | $0.00 | |
| 92551 | 0% | 12 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 42 | $0.00 |
| 98962 | 0% | 44 | $0.00 | |
| 99411 | 0% | 3,907 | $0.00 | |
| 99401 | 0% | 363 | $0.00 | |
| 3078F | 0% | 99 | $0.00 | |
| G2010 | Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment | 0% | 60 | $0.00 |
| 1159F | 0% | 41 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 43 | $0.00 |
| 90863 | 0% | 65 | $0.00 | |
| 1160F | 0% | 39 | $0.00 | |
| 96152 | 0% | 12 | $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.
From NPPES
Who's on the registration
Authorized officialGARCIA, MARIA (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Viatus, INC | El Paso, TX | $6.28M |
| Tree of Life Special Needs Adult Center LLC | Saint Cloud, FL | $2.64M |
| All Star Children's Care | Donna, TX | $1.38M |
| LA Buena Fe PHC Corporation | Brownsville, TX | $503K |
| Lahens Medical Center, INC. | Palmetto Bay, FL | $383K |
| LA Guardia Home Healthcare | El Paso, TX | $292K |
| First Quality Laboratory INC | Pembroke Pines, FL | $152K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.