Flores-Gonzalez, Juan

Flores-Gonzalez, Juan was paid $638K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 47% of everything it billed.

33Billing provider infoFLORES-GONZALEZ, JUAN
SAN JUAN, PR 00909

33aNPI1891008314assigned 07/26/2010

33bProvider typePulmonary Disease Physician

28Total paid$638K

24GClaims5,600

24DCodes billed6

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Puerto Rico

Rank by total paid#4 of 55

Median peer was paid$68K

This provider vs. median9.4×

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	345	$7K
2019	556	$25K
2020	791	$81K
2021	860	$116K
2022	916	$110K
2023	1,191	$162K
2024incomplete	941	$137K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	47%	2,254	1,619	$301K
99223	Prolong inpt eval add15 m	35%	1,486	1,310	$222K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	7.7%	848	645	$49K
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	6.4%	425	378	$41K
99255		3.4%	561	550	$22K
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%	26	26	$3K

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.