Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Jimenez Morales, Luz

Jimenez Morales, Luz was paid $2K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.

33Billing provider infoJIMENEZ MORALES, LUZ
HORMIGUEROS, PR 00660
33aNPI1710950183assigned 02/08/2006
28Total paid$2K
24GClaims4,408
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Personal Emergency Response Attendant providers in Puerto Rico

Rank by total paid#16 of 28
Median peer was paid$3K
This provider vs. median0.6×

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$500$1.0K2018201920202021202220232024
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
2018785$190.50
2019473$0.00
2020460$926.53
2021476$265.95
2022650$20.00
2023931$346.30
2024incomplete633$0.00
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 44% 2,095 1,802 $772.72
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 36% 18 17 $630.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 11% 625 506 $190.50
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 8.9% 713 608 $156.06
3074F 0% 95 91 $0.00
4010F 0% 44 42 $0.00
99441 0% 426 360 $0.00
1125F 0% 21 21 $0.00
1170F 0% 48 48 $0.00
1157F 0% 25 25 $0.00
3008F 0% 56 55 $0.00
3078F 0% 95 91 $0.00
5 more codes
1160F 0% 48 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 0% 13 $0.00
1159F 0% 48 $0.00
1158F 0% 25 $0.00
4035F 0% 13 $0.00

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.