Physician
Morales, Jose
Morales, Jose was paid $40.00 by Medicaid between Jan 2018 and Jun 2018, across 12 billing codes. Its largest line is 3074F, — 50% of everything it billed.
33Billing provider infoMORALES, JOSE
GUAYAMA, PR 00784
GUAYAMA, PR 00784
33aNPI1457374126assigned 07/25/2006
33bProvider typeGeneral Practice Physician
28Total paid$40.00
24GClaims1,110
24DCodes billed12
24AFirst – last monthJan 2018 – Jun 2018
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#891 of 1,195
Median peer was paid$2K
This provider vs. median0.0×
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 | 1,110 | $40.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 3074F | 50% | 184 | 170 | $20.00 | |
| 3078F | 50% | 191 | 177 | $20.00 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 187 | 150 | $0.00 |
| 3008F | 0% | 100 | 98 | $0.00 | |
| 3044F | 0% | 16 | 15 | $0.00 | |
| 3048F | 0% | 23 | 22 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 169 | 107 | $0.00 |
| 3077F | 0% | 13 | 13 | $0.00 | |
| 1159F | 0% | 26 | 25 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 65 | 53 | $0.00 |
| 1160F | 0% | 26 | 25 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 110 | 88 | $0.00 |
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.