Physician
Galloza Otero, Juan Carlos
Galloza Otero, Juan Carlos was paid $388K by Medicaid between Aug 2020 and Dec 2024, across 7 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 55% of everything it billed.
33Billing provider infoGALLOZA OTERO, JUAN CARLOS
SAN GERMAN, PR 00683
SAN GERMAN, PR 00683
33aNPI1598042871assigned 11/14/2011
33bProvider typeSports Medicine (Physical Medicine & Rehabilitation) Physician
28Total paid$388K
24GClaims5,701
24DCodes billed7
24AFirst – last monthAug 2020 – Dec 2024
Compared with peers
Next to other Sports Medicine (Physical Medicine & Rehabilitation) Physician providers in Puerto Rico
Rank by total paid#2 of 7
Median peer was paid$160K
This provider vs. median2.4×
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 | |
|---|---|---|---|
| 2020 | 131 | $4K | |
| 2021 | 547 | $30K | |
| 2022 | 1,306 | $76K | |
| 2023 | 1,602 | $111K | |
| 2024incomplete | 2,115 | $166K |
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 | 55% | 3,706 | 802 | $213K |
| 99222 | Initial hospital care, per day, moderate complexity | 23% | 854 | 688 | $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 | 9.3% | 553 | 483 | $36K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.5% | 425 | 393 | $33K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.6% | 106 | 97 | $6K |
| 95912 | 1.4% | 27 | 27 | $5K | |
| 95886 | 1.1% | 30 | 30 | $4K |
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.