Physician
Jose Fragoso MD
Jose Fragoso MD was paid $327K by Medicaid between Jan 2018 and Jul 2021, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoJOSE FRAGOSO MD
UNION CITY, NJ 07087
UNION CITY, NJ 07087
33aNPI1346452166assigned 05/04/2007
33bProvider typePediatrics Physician
28Total paid$327K
24GClaims11,436
24DCodes billed20
24AFirst – last monthJan 2018 – Jul 2021
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#219 of 549
Median peer was paid$154K
This provider vs. median2.1×
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 | 2,019 | $30K | |
| 2019 | 3,365 | $111K | |
| 2020 | 3,731 | $128K | |
| 2021 | 2,321 | $58K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 57% | 5,271 | 4,610 | $186K |
| 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 | 15% | 833 | 783 | $48K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.4% | 591 | 590 | $28K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.1% | 394 | 392 | $17K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 5.0% | 1,363 | 1,245 | $16K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.4% | 120 | 114 | $8K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 2.3% | 879 | 831 | $8K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.1% | 161 | 160 | $7K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.0% | 195 | 195 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 237 | 236 | $3K |
| 94664 | <1% | 197 | 195 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 103 | 103 | $1K |
8 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $494.80 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 167 | $362.49 |
| 90686 | <1% | 14 | $216.30 | |
| 90461 | <1% | 15 | $160.26 | |
| 86403 | <1% | 54 | $96.22 | |
| A7016 | Dome and mouthpiece, used with small volume ultrasonic nebulizer | <1% | 409 | $45.57 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 409 | $12.00 |
| 94002 | 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 officialFRAGOSO, JOSE (DOCTOR)