Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › Vega Alta › NPI 1386776862
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
33aNPI1386776862assigned 03/11/2007
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

$0$10K$20K2018201920202021202220232024
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
2018659$33K
2019563$21K
2020728$56K
20211,487$145K
2022814$65K
2023870$81K
2024incomplete994$103K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.