Pagan, Jose

Pagan, Jose was paid $178K by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 50% of everything it billed.

33Billing provider infoPAGAN, JOSE
MANATI, PR 00674

33aNPI1508877234assigned 08/10/2006

33bProvider typeSurgery Physician

28Total paid$178K

24GClaims2,709

24DCodes billed3

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Surgery Physician providers in Puerto Rico

Rank by total paid#18 of 111

Median peer was paid$28K

This provider vs. median6.3×

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	64	$1K
2019	149	$3K
2020	241	$9K
2021	333	$13K
2022	555	$28K
2023	863	$70K
2024incomplete	504	$55K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	50%	694	463	$90K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	33%	1,594	1,460	$58K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	17%	421	411	$30K

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.