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

Giron Morel, Jessie

Giron Morel, Jessie was paid $223K by Medicaid between Jan 2020 and Nov 2024, across 9 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 63% of everything it billed.

33Billing provider infoGIRON MOREL, JESSIE
CAROLINA, PR 00979
33aNPI1811004492assigned 08/23/2006
28Total paid$223K
24GClaims4,025
24DCodes billed9
24AFirst – last monthJan 2020 – Nov 2024
Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#66 of 518
Median peer was paid$5K
This provider vs. median45×

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$10K$20K$30K2018201920202021202220232024
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
2020755$16K
2021858$36K
2022742$8K
2023685$37K
2024incomplete985$126K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 63% 516 300 $141K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 23% 1,342 1,255 $50K
93000 5.6% 1,365 1,250 $12K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.9% 590 541 $9K
99222 Initial hospital care, per day, moderate complexity 1.9% 43 41 $4K
99223 Prolong inpt eval add15 m 1.4% 28 26 $3K
99238 Hospital discharge day management, 30 minutes or less 1.2% 52 40 $3K
99244 Office or other outpatient consultation, moderate to high complexity <1% 43 41 $561.00
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 <1% 46 46 $113.00

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.