Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › SC › Charleston › NPI 1508046871
Physician

Robles, Juan

Robles, Juan was paid $24K by Medicaid between Jan 2018 and Nov 2021, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 71% of everything it billed.

33Billing provider infoROBLES, JUAN
CHARLESTON, SC 29414
33aNPI1508046871assigned 11/05/2007
28Total paid$24K
24GClaims1,523
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers

Next to other Physical Medicine & Rehabilitation Physician providers in South Carolina

Rank by total paid#13 of 22
Median peer was paid$32K
This provider vs. median0.7×

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$1.0K$2.0K2018201920202021202220232024
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
2018509$4K
2019317$5K
2020295$6K
2021402$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 71% 861 859 $17K
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 26% 231 231 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.4% 27 27 $574.69
99442 <1% 13 13 $117.40
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 0% 91 91 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 120 120 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 28 28 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 0% 13 13 $0.00
99429 0% 64 63 $0.00
1036F 0% 30 30 $0.00
3017F 0% 15 15 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 30 30 $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.