Jorge, William

Jorge, William was paid $298K by Medicaid between Jan 2018 and Oct 2024, across 3 billing codes. Its largest line is 90961, — 94% of everything it billed.

33Billing provider infoJORGE, WILLIAM
CAGUAS, PR 00725

33aNPI1417003575assigned 01/25/2007

33bProvider typeNephrology Physician

28Total paid$298K

24GClaims2,130

24DCodes billed3

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Nephrology Physician providers in Puerto Rico

Rank by total paid#14 of 81

Median peer was paid$66K

This provider vs. median4.5×

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	389	$26K
2019	334	$37K
2020	374	$58K
2021	324	$50K
2022	228	$37K
2023	206	$46K
2024incomplete	275	$44K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90961		94%	1,834	1,639	$280K
99223	Prolong inpt eval add15 m	4.1%	217	196	$12K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	2.1%	79	37	$6K

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.