Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Castro Diaz, Jose

Castro Diaz, Jose was paid $75K by Medicaid between Jan 2018 and Sep 2023, across 4 billing codes. Its largest line is 99205, Prolong outpt/office vis — 74% of everything it billed.

33Billing provider infoCASTRO DIAZ, JOSE
AIBONITO, PR 00705
33aNPI1609875335assigned 07/15/2005
33bProvider typeSpecialist
28Total paid$75K
24GClaims1,631
24DCodes billed4
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers

Next to other Specialist providers in Puerto Rico

Rank by total paid#110 of 316
Median peer was paid$26K
This provider vs. median2.9×

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$5.0K$10K2018201920202021202220232024
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
2018638$1K
2019419$2K
202037$4K
2021193$24K
202243$5K
2023301$39K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99205 Prolong outpt/office vis 74% 387 358 $55K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25% 631 592 $19K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg <1% 307 291 $550.00
96402 <1% 306 290 $30.84

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.