Physician
Betancourt, Jose
Betancourt, Jose was paid $506K by Medicaid between Jan 2018 and Oct 2024, across 7 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 60% of everything it billed.
33Billing provider infoBETANCOURT, JOSE
HATILLO, PR 00659
HATILLO, PR 00659
33aNPI1558676783assigned 08/12/2010
33bProvider typeNephrology Physician
28Total paid$506K
24GClaims11,025
24DCodes billed7
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Nephrology Physician providers in Puerto Rico
Rank by total paid#7 of 81
Median peer was paid$66K
This provider vs. median7.7×
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
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 | 1,928 | $46K | |
| 2019 | 1,577 | $40K | |
| 2020 | 1,414 | $52K | |
| 2021 | 1,629 | $89K | |
| 2022 | 1,440 | $84K | |
| 2023 | 1,610 | $102K | |
| 2024incomplete | 1,427 | $93K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 60% | 7,695 | 2,170 | $306K |
| 99222 | Initial hospital care, per day, moderate complexity | 20% | 1,017 | 927 | $100K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 1,452 | 1,396 | $68K |
| 99252 | 4.9% | 679 | 628 | $25K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 136 | 130 | $4K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 32 | 12 | $3K |
| 99253 | <1% | 14 | 14 | $520.00 |
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.