Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Perez Garcia, Jose

Perez Garcia, Jose was paid $317K by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 44% of everything it billed.

33Billing provider infoPEREZ GARCIA, JOSE
BARCELONETA, PR 00617
33aNPI1356351407assigned 08/09/2006
33bProvider typeSpecialist
28Total paid$317K
24GClaims6,224
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Specialist providers in Puerto Rico

Rank by total paid#57 of 316
Median peer was paid$26K
This provider vs. median12×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2018782$9K
20191,184$10K
2020563$15K
2021409$19K
2022472$24K
2023809$60K
2024incomplete2,005$182K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 44% 1,570 687 $139K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 26% 1,711 1,183 $83K
99223 Prolong inpt eval add15 m 20% 848 673 $63K
99238 Hospital discharge day management, 30 minutes or less 8.2% 779 590 $26K
99244 Office or other outpatient consultation, moderate to high complexity 1.1% 166 154 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 525 458 $2K
96160 <1% 63 35 $660.00
3078F <1% 48 40 $176.00
3074F <1% 49 41 $144.00
1158F <1% 46 38 $48.00
1157F <1% 49 41 $48.00
1159F 0% 48 40 $0.00
10 more codes
1160F 0% 51 $0.00
4035F 0% 22 $0.00
3008F 0% 57 $0.00
1170F 0% 49 $0.00
3066F 0% 12 $0.00
1126F 0% 20 $0.00
99213 Doctor's office visit, returning patient (routine) 0% 65 $0.00
4010F 0% 15 $0.00
1125F 0% 12 $0.00
99214 Doctor's office visit, returning patient (more involved) 0% 19 $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.