Physician
Pastrana, Jose
Pastrana, Jose was paid $10K by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 60% of everything it billed.
33Billing provider infoPASTRANA, JOSE
GUAYNABO, PR 00969
GUAYNABO, PR 00969
33aNPI1861462186assigned 01/26/2006
33bProvider typeGeneral Practice Physician
28Total paid$10K
24GClaims57,762
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#412 of 1,195
Median peer was paid$2K
This provider vs. median4.8×
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 | 9,397 | $375.37 | |
| 2019 | 7,246 | $34.00 | |
| 2020 | 5,299 | $2K | |
| 2021 | 8,985 | $4K | |
| 2022 | 8,097 | $1K | |
| 2023 | 8,079 | $132.74 | |
| 2024incomplete | 10,659 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 60% | 419 | 394 | $6K |
| 96160 | 20% | 726 | 638 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 13% | 7,208 | 5,747 | $1K |
| 99441 | 4.2% | 793 | 708 | $410.12 | |
| 90686 | 2.3% | 12 | 12 | $223.80 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,057 | 952 | $0.04 |
| 80061 | Lipid panel | <1% | 591 | 493 | $0.01 |
| 0518F | <1% | 2,528 | 2,244 | $0.01 | |
| 3725F | <1% | 2,638 | 2,230 | $0.01 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,756 | 1,589 | $0.01 |
| 1126F | <1% | 2,942 | 2,556 | $0.01 | |
| 1170F | <1% | 3,116 | 2,703 | $0.01 |
28 more codes
| 1036F | <1% | 2,445 | $0.01 | |
| 1160F | 0% | 3,138 | $0.00 | |
| 1158F | 0% | 3,104 | $0.00 | |
| 3078F | 0% | 2,815 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 190 | $0.00 |
| 99071 | 0% | 2,489 | $0.00 | |
| 2014F | 0% | 178 | $0.00 | |
| 1159F | 0% | 3,143 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 261 | $0.00 |
| 99397 | 0% | 150 | $0.00 | |
| G0177 | Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more) | 0% | 106 | $0.00 |
| 0521F | 0% | 13 | $0.00 | |
| 1157F | 0% | 3,103 | $0.00 | |
| 3075F | 0% | 827 | $0.00 | |
| 82270 | 0% | 120 | $0.00 | |
| 3074F | 0% | 4,966 | $0.00 | |
| 3079F | 0% | 2,965 | $0.00 | |
| 3008F | 0% | 3,081 | $0.00 | |
| 3048F | 0% | 104 | $0.00 | |
| 3017F | 0% | 289 | $0.00 | |
| 2010F | 0% | 177 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 163 | $0.00 |
| 1030F | 0% | 12 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 28 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 59 | $0.00 |
| 1125F | 0% | 13 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 25 | $0.00 |
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.