Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Flores Caban, Jose

Flores Caban, Jose was paid $440K by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 91% of everything it billed.

33Billing provider infoFLORES CABAN, JOSE
SAN JUAN, PR 00917
33aNPI1386650562assigned 07/31/2006
28Total paid$440K
24GClaims10,779
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Puerto Rico

Rank by total paid#14 of 185
Median peer was paid$53K
This provider vs. median8.2×

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$20K$40K2018201920202021202220232024
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
20181,227$20K
20191,668$27K
20201,439$22K
20211,715$57K
20221,502$70K
20231,269$82K
2024incomplete1,959$163K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 91% 10,456 6,568 $402K
59515 6.3% 32 13 $28K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.6% 173 162 $7K
99241 <1% 70 69 $3K
99441 <1% 48 47 $284.47

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.