Garcia-Jimenez, Jose
Garcia-Jimenez, Jose was paid $106K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.
33Billing provider infoGARCIA-JIMENEZ, JOSE
AGUADILLA, PR 00603
AGUADILLA, PR 00603
33aNPI1851370548assigned 01/11/2006
33bProvider typeSpecialist
28Total paid$106K
24GClaims2,820
24DCodes billed4
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Specialist providers in Puerto Rico
Rank by total paid#98 of 316
Median peer was paid$26K
This provider vs. median4.2×
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 | 668 | $14K | |
| 2019 | 376 | $6K | |
| 2020 | 456 | $20K | |
| 2021 | 460 | $21K | |
| 2022 | 360 | $15K | |
| 2023 | 287 | $15K | |
| 2024incomplete | 213 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 75% | 1,653 | 1,554 | $80K |
| 93000 | 17% | 990 | 945 | $18K | |
| 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 | 5.8% | 121 | 119 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 56 | 55 | $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.