Jimenez, Jose

Jimenez, Jose was paid $98K by Medicaid between Aug 2022 and Nov 2024, across 3 billing codes. Its largest line is 99284, emergency room visit (serious) — 54% of everything it billed.

33Billing provider infoJIMENEZ, JOSE
HUMACAO, PR 00791

33aNPI1861137341assigned 04/29/2022

33bProvider typeGeneral Practice Physician

28Total paid$98K

24GClaims1,042

24DCodes billed3

24AFirst – last monthAug 2022 – Nov 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#186 of 1,195

Median peer was paid$2K

This provider vs. median48×

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	12	$939.51
2023	412	$30K
2024incomplete	618	$67K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	54%	682	600	$53K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	31%	184	34	$30K
99235		15%	176	147	$15K

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.