Justiniano, Jorge
Justiniano, Jorge was paid $47K by Medicaid between Jan 2018 and Oct 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 91% of everything it billed.
33Billing provider infoJUSTINIANO, JORGE
MAYAGUEZ, PR 00680
MAYAGUEZ, PR 00680
33aNPI1881660678assigned 02/23/2006
33bProvider typeSpecialist
28Total paid$47K
24GClaims1,019
24DCodes billed2
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Specialist providers in Puerto Rico
Rank by total paid#131 of 316
Median peer was paid$26K
This provider vs. median1.8×
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 | 209 | $5K | |
| 2019 | 70 | $1K | |
| 2020 | 90 | $3K | |
| 2021 | 127 | $6K | |
| 2022 | 165 | $8K | |
| 2023 | 223 | $14K | |
| 2024incomplete | 135 | $10K |
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 | 91% | 948 | 816 | $42K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.4% | 71 | 66 | $4K |
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.