Physician
Mateo Jimenez, Luis
Mateo Jimenez, Luis was paid $417K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.
33Billing provider infoMATEO JIMENEZ, LUIS
MANATI, PR 00674
MANATI, PR 00674
33aNPI1518975903assigned 08/03/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$417K
24GClaims10,090
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Puerto Rico
Rank by total paid#18 of 185
Median peer was paid$53K
This provider vs. median7.8×
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 | 1,500 | $36K | |
| 2019 | 1,277 | $31K | |
| 2020 | 1,280 | $37K | |
| 2021 | 1,491 | $65K | |
| 2022 | 1,573 | $65K | |
| 2023 | 1,370 | $81K | |
| 2024incomplete | 1,599 | $103K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 63% | 6,943 | 4,794 | $263K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 15% | 1,250 | 1,123 | $63K |
| 76830 | Ultrasound, transvaginal | 6.7% | 295 | 272 | $28K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.3% | 431 | 423 | $18K |
| 59410 | 3.2% | 26 | 24 | $13K | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 2.1% | 331 | 312 | $9K |
| 99242 | 2.0% | 233 | 203 | $8K | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.2% | 148 | 111 | $5K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 198 | 159 | $4K |
| 99241 | <1% | 83 | 72 | $2K | |
| 99441 | <1% | 75 | 60 | $1K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 37 | 31 | $1K |
1 more codes
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 40 | $147.78 |
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.