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

Scarano-Garcia, Jenaro

Scarano-Garcia, Jenaro was paid $959K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 95957, — 32% of everything it billed.

33Billing provider infoSCARANO-GARCIA, JENARO
PONCE, PR 00717
33aNPI1407854060assigned 07/08/2005
28Total paid$959K
24GClaims13,563
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Neurology with Special Qualifications in Child Neurology Physician providers in Puerto Rico

Rank by total paid#3 of 10
Median peer was paid$91K
This provider vs. median11×

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
20183,139$170K
20192,906$164K
20201,628$108K
20211,735$133K
20221,468$103K
20231,463$134K
2024incomplete1,224$147K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
95957 32% 1,992 1,875 $308K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20% 3,063 2,950 $191K
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 19% 4,594 4,363 $185K
99245 15% 3,217 3,058 $148K
95819 9.3% 246 236 $89K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.5% 377 369 $34K
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 <1% 34 34 $4K
99441 <1% 40 27 $937.00

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.