Clinic
Jose I Duran MD PC
Jose I Duran MD PC was paid $109K by Medicaid between Jan 2018 and Dec 2021, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 89% of everything it billed.
33Billing provider infoJOSE I DURAN MD PC
NOGALES, AZ 85621
NOGALES, AZ 85621
33aNPI1467667626assigned 05/11/2007
33bProvider typeClinic/Center
28Total paid$109K
24GClaims1,856
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Clinic/Center providers in Arizona
Rank by total paid#57 of 89
Median peer was paid$216K
This provider vs. median0.5×
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 | 798 | $42K | |
| 2019 | 467 | $25K | |
| 2020 | 321 | $21K | |
| 2021 | 270 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 89% | 1,447 | 1,309 | $97K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 9.2% | 289 | 285 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 41 | 37 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 42 | 41 | $832.13 |
| J1000 | Injection, depo-estradiol cypionate, up to 5 mg | <1% | 37 | 37 | $408.06 |
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.
From NPPES
Who's on the registration
Authorized officialDURAN, JOSE (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Joseph Duran Professional Asscociation INC. | West New York, NJ | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.