Jimenez, Roberto

Jimenez, Roberto was paid $43K by Medicaid between Jan 2022 and Dec 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.

33Billing provider infoJIMENEZ, ROBERTO
MOCA, PR 00676

33aNPI1760936504assigned 08/10/2016

33bProvider typeGeneral Practice Physician

28Total paid$43K

24GClaims4,086

24DCodes billed7

24AFirst – last monthJan 2022 – Dec 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#264 of 1,195

Median peer was paid$2K

This provider vs. median21×

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
2022	658	$15K
2023	1,068	$14K
2024incomplete	2,360	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	65%	1,800	1,384	$28K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	13%	863	518	$5K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	8.2%	94	94	$4K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	7.6%	239	171	$3K
99442		5.1%	290	205	$2K
99441		<1%	778	452	$362.92
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	0%	22	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.