Physician
Zuniga Hidalgo, Julio
Zuniga Hidalgo, Julio was paid $9K by Medicaid between Dec 2019 and Aug 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 71% of everything it billed.
33Billing provider infoZUNIGA HIDALGO, JULIO
DORADO, PR 00646
DORADO, PR 00646
33aNPI1871616631assigned 04/09/2007
33bProvider typeFamily Medicine Physician
28Total paid$9K
24GClaims6,264
24DCodes billed12
24AFirst – last monthDec 2019 – Aug 2024
Compared with peers
Next to other Family Medicine Physician providers in Puerto Rico
Rank by total paid#49 of 160
Median peer was paid$1K
This provider vs. median7.8×
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 | |
|---|---|---|---|
| 2019 | 67 | $40.00 | |
| 2020 | 364 | $260.47 | |
| 2021 | 700 | $1K | |
| 2022 | 954 | $3K | |
| 2023 | 2,145 | $3K | |
| 2024incomplete | 2,034 | $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 | 71% | 2,152 | 1,730 | $6K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 16% | 35 | 34 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 12% | 744 | 562 | $1K |
| 3079F | 0% | 832 | 645 | $0.00 | |
| 3017F | 0% | 109 | 101 | $0.00 | |
| 3074F | 0% | 1,476 | 1,173 | $0.00 | |
| 3044F | 0% | 20 | 13 | $0.00 | |
| 3075F | 0% | 50 | 37 | $0.00 | |
| 3061F | 0% | 26 | 26 | $0.00 | |
| 3048F | 0% | 29 | 29 | $0.00 | |
| 3078F | 0% | 744 | 606 | $0.00 | |
| 3725F | 0% | 47 | 47 | $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.