Miro, Jose

Miro, Jose was paid $336K by Medicaid between Jan 2018 and Oct 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.

33Billing provider infoMIRO, JOSE
SAN JUAN, PR 00920

33aNPI1821289414assigned 08/07/2007

33bProvider typePhysical Medicine & Rehabilitation Physician

28Total paid$336K

24GClaims5,230

24DCodes billed7

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Physical Medicine & Rehabilitation Physician providers in Puerto Rico

Rank by total paid#22 of 88

Median peer was paid$135K

This provider vs. median2.5×

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	590	$14K
2019	642	$15K
2020	794	$40K
2021	808	$58K
2022	1,031	$84K
2023	792	$73K
2024incomplete	573	$53K

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	38%	2,636	2,491	$127K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	27%	1,469	1,395	$90K
95886		20%	418	388	$66K
99222	Initial hospital care, per day, moderate complexity	7.5%	242	236	$25K
99223	Prolong inpt eval add15 m	4.4%	105	105	$15K
99221		3.2%	347	335	$11K
95911		<1%	13	12	$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.