Ocasto, Jose F

Ocasto, Jose F was paid $9K by Medicaid between Jan 2018 and Jun 2018, across 2 billing codes. Its largest line is 11042, Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm — 88% of everything it billed.

33Billing provider infoOCASTO, JOSE F
PONCE, PR 00731

33aNPI1326029646assigned 11/14/2005

33bProvider typeSurgery Physician

28Total paid$9K

24GClaims335

24DCodes billed2

24AFirst – last monthJan 2018 – Jun 2018

Compared with peers

Next to other Surgery Physician providers in Puerto Rico

Rank by total paid#71 of 111

Median peer was paid$28K

This provider vs. median0.3×

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	335	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	88%	172	73	$8K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12%	163	76	$1K

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.