JMG Surgical Services PSC

JMG Surgical Services PSC was paid $577K by Medicaid between Feb 2018 and Dec 2024, across 5 billing codes. Its largest line is 11043, — 75% of everything it billed.

33Billing provider infoJMG SURGICAL SERVICES PSC
MAYAGUEZ, PR 00680

33aNPI1659785673assigned 06/18/2014

33bProvider typeExclusive Provider Organization

28Total paid$577K

24GClaims3,736

24DCodes billed5

24AFirst – last monthFeb 2018 – Dec 2024

Compared with peers

Next to other Exclusive Provider Organization providers in Puerto Rico

Rank by total paid#5 of 19

Median peer was paid$250K

This provider vs. median2.3×

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	58	$603.73
2019	44	$363.50
2020	87	$8K
2021	150	$11K
2022	184	$12K
2023	575	$87K
2024incomplete	2,638	$458K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
11043		75%	1,965	326	$430K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	13%	1,077	830	$74K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.8%	566	241	$39K
47562		3.4%	27	25	$20K
99223	Prolong inpt eval add15 m	2.5%	101	98	$14K

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 officialMARQUEZ, JAVIER (PRESIDENT)