Physician
Vega-Martinez, Jose
Vega-Martinez, Jose was paid $1.69M by Medicaid between Feb 2018 and Nov 2024, across 10 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 34% of everything it billed.
33Billing provider infoVEGA-MARTINEZ, JOSE
SAN JUAN, PR 00922
SAN JUAN, PR 00922
33aNPI1801050695assigned 07/11/2008
33bProvider typeInternal Medicine Physician
28Total paid$1.69M
24GClaims12,827
24DCodes billed10
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Puerto Rico
Rank by total paid#6 of 518
Median peer was paid$5K
This provider vs. median340×
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 | 1,028 | $95K | |
| 2019 | 1,854 | $216K | |
| 2020 | 1,345 | $146K | |
| 2021 | 2,238 | $292K | |
| 2022 | 2,161 | $302K | |
| 2023 | 2,125 | $323K | |
| 2024incomplete | 2,076 | $321K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 34% | 1,869 | 1,737 | $573K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 25% | 1,632 | 1,495 | $426K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 5,556 | 5,168 | $278K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 12% | 360 | 338 | $200K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.3% | 2,039 | 1,859 | $157K |
| 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 | 2.2% | 1,190 | 1,179 | $37K |
| 99223 | Prolong inpt eval add15 m | <1% | 93 | 93 | $13K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 32 | 32 | $9K |
| 99254 | <1% | 42 | 41 | $1K | |
| 99441 | <1% | 14 | 14 | $341.72 |
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.