Physician
Garcia Gonzalez, Jose
Garcia Gonzalez, Jose was paid $3.36M by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 52% of everything it billed.
33Billing provider infoGARCIA GONZALEZ, JOSE
SAN JUAN, PR 00921
SAN JUAN, PR 00921
33aNPI1881889558assigned 09/06/2007
33bProvider typeRetina Specialist (Ophthalmology) Physician
28Total paid$3.36M
24GClaims28,314
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Retina Specialist (Ophthalmology) Physician providers in Puerto Rico
Rank by total paid#1 of 5
Median peer was paid$1.44M
This provider vs. median2.3×
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 | 3,036 | $156K | |
| 2019 | 4,502 | $429K | |
| 2020 | 4,105 | $389K | |
| 2021 | 4,336 | $518K | |
| 2022 | 4,090 | $590K | |
| 2023 | 4,281 | $691K | |
| 2024incomplete | 3,964 | $583K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 52% | 1,481 | 1,160 | $1.74M |
| 67028 | Intravitreal injection of a pharmacologic agent | 26% | 4,740 | 3,444 | $886K |
| 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 | 7.2% | 4,969 | 4,197 | $241K |
| J9035 | Injection, bevacizumab, 10 mg | 4.8% | 2,712 | 1,973 | $160K |
| 92134 | 4.5% | 7,380 | 6,216 | $152K | |
| 92226 | 1.6% | 1,606 | 621 | $54K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.2% | 2,096 | 1,818 | $39K |
| 92201 | <1% | 2,177 | 1,578 | $29K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 428 | 375 | $27K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 393 | 215 | $13K |
| 92225 | <1% | 159 | 85 | $6K | |
| 92250 | <1% | 55 | 51 | $2K |
3 more codes
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.