Julio Hip-Flores MD PA

Julio Hip-Flores MD PA was paid $65K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.

33Billing provider infoJULIO HIP-FLORES MD PA
PISCATAWAY, NJ 08854

33aNPI1861448292assigned 05/26/2006

33bProvider typeInternal Medicine Physician

28Total paid$65K

24GClaims2,737

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in New Jersey

Rank by total paid#403 of 1,027

Median peer was paid$30K

This provider vs. median2.2×

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	312	$8K
2019	346	$9K
2020	243	$6K
2021	412	$13K
2022	502	$15K
2023	721	$12K
2024incomplete	201	$2K

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	59%	1,483	1,312	$39K
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	40%	846	753	$26K
36415	Collection of venous blood by venipuncture	<1%	242	218	$245.90
3074F		<1%	97	85	$6.00
3078F		<1%	69	58	$5.00

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.

From NPPES

Who's on the registration

Authorized officialGUTIERREZ, BARBARA (OFFICE MANAGER)