Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › Toa Alta › NPI 1578506242
Physician

Jimenez, Jose

Jimenez, Jose was paid $0.19 by Medicaid between Jan 2018 and Aug 2019, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 100% of everything it billed.

33Billing provider infoJIMENEZ, JOSE
TOA ALTA, PR 00953
33aNPI1578506242assigned 06/13/2006
28Total paid$0.19
24GClaims3,626
24DCodes billed3
24AFirst – last monthJan 2018 – Aug 2019
Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#940 of 1,195
Median peer was paid$2K
This provider vs. median0.0×

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$0$0$02018201920202021202220232024
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
20182,300$0.00
20191,326$0.19
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 100% 3,220 2,324 $0.19
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 0% 382 308 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 0% 24 23 $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.