Cedeno Espaillat, Jorge

Cedeno Espaillat, Jorge was paid $19K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99348, — 63% of everything it billed.

33Billing provider infoCEDENO ESPAILLAT, JORGE
TOA BAJA, PR 00949

33aNPI1316171168assigned 05/07/2009

33bProvider typeGeneral Practice Physician

28Total paid$19K

24GClaims16,864

24DCodes billed7

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#350 of 1,195

Median peer was paid$2K

This provider vs. median9.1×

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	919	$83.10
2019	1,648	$160.00
2020	2,061	$1K
2021	2,636	$3K
2022	3,047	$2K
2023	3,827	$11K
2024incomplete	2,726	$228.75

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99348		63%	7,910	7,619	$12K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	22%	170	124	$4K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	11%	8,546	7,579	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.5%	153	149	$472.71
99343		1.5%	22	22	$275.58
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	<1%	13	13	$70.42
99344		0%	50	50	$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.