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
TOA ALTA, PR 00953
33aNPI1578506242assigned 06/13/2006
33bProvider typeGeneral Practice Physician
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
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 | 2,300 | $0.00 | |
| 2019 | 1,326 | $0.19 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.