Toro-Burguete, Jorge

Toro-Burguete, Jorge was paid $59K by Medicaid between Oct 2020 and Nov 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 92% of everything it billed.

33Billing provider infoTORO-BURGUETE, JORGE
PONCE, PR 00717

33aNPI1891757472assigned 04/06/2006

33bProvider typeSurgical Oncology Physician

28Total paid$59K

24GClaims922

24DCodes billed2

24AFirst – last monthOct 2020 – Nov 2024

Compared with peers

Next to other Surgical Oncology Physician providers in Puerto Rico

Rank by total paid#5 of 6

Median peer was paid$102K

This provider vs. median0.6×

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
2020	23	$1K
2021	131	$6K
2022	185	$9K
2023	216	$17K
2024incomplete	367	$26K

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	92%	878	648	$55K
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	7.6%	44	40	$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.