Grillasca Palou, Jorge

Grillasca Palou, Jorge was paid $325K by Medicaid between Jan 2018 and Jul 2024, across 6 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 67% of everything it billed.

33Billing provider infoGRILLASCA PALOU, JORGE
COTO LAUREL, PR 00780

33aNPI1467493726assigned 06/09/2006

33bProvider typeNephrology Physician

28Total paid$325K

24GClaims3,055

24DCodes billed6

24AFirst – last monthJan 2018 – Jul 2024

Compared with peers

Next to other Nephrology Physician providers in Puerto Rico

Rank by total paid#12 of 81

Median peer was paid$66K

This provider vs. median4.9×

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	321	$31K
2019	447	$41K
2020	445	$57K
2021	619	$68K
2022	806	$77K
2023	343	$46K
2024incomplete	74	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	67%	1,083	1,028	$217K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	13%	870	216	$41K
90961		9.3%	192	183	$30K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	8.2%	632	582	$27K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	3.0%	133	53	$10K
1159F		0%	145	132	$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.