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

Perez Porcel, Jose

Perez Porcel, Jose was paid $229K by Medicaid between Jan 2018 and May 2022, across 7 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 42% of everything it billed.

33Billing provider infoPEREZ PORCEL, JOSE
CHICAGO, IL 60657
33aNPI1427289917assigned 07/31/2009
33bProvider typeHospitalist Physician
28Total paid$229K
24GClaims4,214
24DCodes billed7
24AFirst – last monthJan 2018 – May 2022
Compared with peers

Next to other Hospitalist Physician providers in Illinois

Rank by total paid#14 of 514
Median peer was paid$19K
This provider vs. median12×

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
2018474$10K
2019161$2K
2020166$3K
20212,627$157K
2022786$56K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 42% 983 893 $96K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 21% 1,144 501 $49K
99222 Initial hospital care, per day, moderate complexity 13% 473 403 $31K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 11% 1,031 603 $25K
99239 Hospital discharge day management, more than 30 minutes 6.5% 412 375 $15K
99220 5.7% 146 139 $13K
99238 Hospital discharge day management, 30 minutes or less <1% 25 25 $830.87

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.