Physician
Melendez, Jose
Melendez, Jose was paid $502K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 36% of everything it billed.
33Billing provider infoMELENDEZ, JOSE
VEGA ALTA, PR 00692
VEGA ALTA, PR 00692
33aNPI1386776862assigned 03/11/2007
33bProvider typeCardiovascular Disease Physician
28Total paid$502K
24GClaims6,115
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in Puerto Rico
Rank by total paid#42 of 174
Median peer was paid$109K
This provider vs. median4.6×
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 | 659 | $33K | |
| 2019 | 563 | $21K | |
| 2020 | 728 | $56K | |
| 2021 | 1,487 | $145K | |
| 2022 | 814 | $65K | |
| 2023 | 870 | $81K | |
| 2024incomplete | 994 | $103K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 36% | 696 | 676 | $180K |
| 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 | 29% | 2,051 | 1,980 | $146K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 19% | 941 | 885 | $96K |
| 93000 | 8.5% | 1,944 | 1,866 | $43K | |
| 93224 | 4.0% | 151 | 148 | $20K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.5% | 332 | 300 | $18K |
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.