Physician
Hernandez, Juan
Hernandez, Juan was paid $17K by Medicaid between May 2018 and Nov 2024, across 20 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 84% of everything it billed.
33Billing provider infoHERNANDEZ, JUAN
AGUADILLA, PR 00603
AGUADILLA, PR 00603
33aNPI1730425323assigned 12/31/2012
33bProvider typeGeneral Practice Physician
28Total paid$17K
24GClaims33,110
24DCodes billed20
24AFirst – last monthMay 2018 – Nov 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#361 of 1,195
Median peer was paid$2K
This provider vs. median8.3×
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 | 783 | $0.00 | |
| 2019 | 2,511 | $56.00 | |
| 2020 | 3,458 | $6K | |
| 2021 | 5,124 | $7K | |
| 2022 | 6,288 | $3K | |
| 2023 | 7,773 | $545.86 | |
| 2024incomplete | 7,173 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 84% | 549 | 525 | $14K |
| 99441 | 13% | 10,718 | 9,084 | $2K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.4% | 1,101 | 1,072 | $243.23 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 8,746 | 8,004 | $193.55 |
| 99442 | <1% | 1,176 | 1,020 | $18.00 | |
| 3075F | 0% | 596 | 560 | $0.00 | |
| 3074F | 0% | 2,187 | 2,092 | $0.00 | |
| 3079F | 0% | 453 | 440 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 2,096 | 1,962 | $0.00 |
| 1126F | 0% | 345 | 340 | $0.00 | |
| 1170F | 0% | 371 | 363 | $0.00 | |
| 1157F | 0% | 192 | 187 | $0.00 |
8 more codes
| 3044F | 0% | 72 | $0.00 | |
| 3048F | 0% | 12 | $0.00 | |
| 1158F | 0% | 585 | $0.00 | |
| 3078F | 0% | 2,745 | $0.00 | |
| 3077F | 0% | 495 | $0.00 | |
| 3725F | 0% | 646 | $0.00 | |
| 3088F | 0% | 13 | $0.00 | |
| 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 | 0% | 12 | $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.