Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

JSS Nephrology, PSC

JSS Nephrology, PSC was paid $36K by Medicaid between Sep 2021 and Nov 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.

33Billing provider infoJSS NEPHROLOGY, PSC
SAN JUAN, PR 00926
33aNPI1659503282assigned 08/15/2009
33bProvider typeNephrology Physician
28Total paid$36K
24GClaims439
24DCodes billed4
24AFirst – last monthSep 2021 – Nov 2024
Compared with peers

Next to other Nephrology Physician providers in Puerto Rico

Rank by total paid#47 of 81
Median peer was paid$66K
This provider vs. median0.5×

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$10K$15K2018201920202021202220232024
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
202114$722.80
2022155$8K
2023182$20K
2024incomplete88$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 39% 212 174 $14K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 29% 48 13 $11K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 28% 166 68 $10K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.3% 13 13 $1K

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 officialSANTIAGO, JOSE (EMPLOYE)
Same official

Other billing entities under SANTIAGO, JOSE

Full network →
ProviderLocationPaid
Southeastern Healthcare Holdings LLCGuayama, PR$930K
J.A.Santiago, MS, RPT, P.A.Tampa, FL$103K
Centro Ceski C S PPenuelas, PR$19K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.