Hernandez, Jose

Hernandez, Jose was paid $62K by Medicaid between Jan 2018 and Aug 2024, across 9 billing codes. Its largest line is 99235, — 34% of everything it billed.

33Billing provider infoHERNANDEZ, JOSE
SAN JUAN, PR 00918

33aNPI1487095832assigned 07/15/2013

33bProvider typeGeneral Practice Physician

28Total paid$62K

24GClaims1,130

24DCodes billed9

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#227 of 1,195

Median peer was paid$2K

This provider vs. median30×

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	220	$2K
2019	151	$2K
2020	34	$665.26
2021	193	$13K
2022	297	$20K
2023	186	$22K
2024incomplete	49	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99235		34%	173	150	$21K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	30%	268	221	$18K
99220		12%	65	55	$7K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	9.3%	118	95	$6K
99282	Emergency department visit for the evaluation and management, low to moderate severity	6.8%	279	259	$4K
99234		2.7%	25	14	$2K
99218		2.6%	29	27	$2K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	2.1%	160	145	$1K
76140		<1%	13	13	$348.30

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.