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

Jose Luis Serrano Montes, MD, CSP

Jose Luis Serrano Montes, MD, CSP was paid $124K by Medicaid between Mar 2019 and Feb 2024, across 4 billing codes. Its largest line is 99283, emergency room visit (moderate) — 63% of everything it billed.

33Billing provider infoJOSE LUIS SERRANO MONTES, MD, CSP
TRUJILLO ALTO, PR 00976
33aNPI1720573181assigned 06/28/2018
28Total paid$124K
24GClaims2,889
24DCodes billed4
24AFirst – last monthMar 2019 – Feb 2024
Compared with peers

Next to other Emergency Care Clinic/Center providers in Puerto Rico

Rank by total paid#29 of 55
Median peer was paid$175K
This provider vs. median0.7×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
2019130$1K
2020576$20K
2021593$18K
2022332$12K
20231,145$65K
2024incomplete113$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 63% 1,965 1,540 $78K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 18% 238 208 $22K
99218 17% 440 294 $22K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.8% 246 210 $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 officialRODRIGUEZ MUNIZ, NORELYS (SECRETARIA)