Grupo Hospitalistas San Jorge

Grupo Hospitalistas San Jorge was paid $226K by Medicaid between Nov 2018 and Aug 2020, across 7 billing codes. Its largest line is 99231, Subsequent hospital care, per day, straightforward or low complexity — 41% of everything it billed.

33Billing provider infoGRUPO HOSPITALISTAS SAN JORGE
SAN JUAN, PR 00912

33aNPI1649700535assigned 06/14/2017

33bProvider typeHospitalist Physician

28Total paid$226K

24GClaims4,691

24DCodes billed7

24AFirst – last monthNov 2018 – Aug 2020

Compared with peers

Next to other Hospitalist Physician providers in Puerto Rico

Rank by total paid#4 of 8

Median peer was paid$9K

This provider vs. median26×

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	260	$11K
2019	2,678	$121K
2020	1,753	$94K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99231	Subsequent hospital care, per day, straightforward or low complexity	41%	1,618	1,467	$93K
99241		27%	1,368	1,341	$62K
99221		16%	1,329	1,191	$36K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	11%	207	192	$25K
99222	Initial hospital care, per day, moderate complexity	2.7%	101	98	$6K
99243		<1%	37	35	$2K
99238	Hospital discharge day management, 30 minutes or less	<1%	31	31	$2K

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.

From NPPES

Who's on the registration

Authorized officialMARTINEZ, MURIEL (BILLING COMPANY)

Parent organizationSAN JORGE CHILDREN'S HOSPITAL, INC.