Garcia Mateo, Jose

Garcia Mateo, Jose was paid $15K by Medicaid between Feb 2018 and Aug 2019, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.

33Billing provider infoGARCIA MATEO, JOSE
PONCE, PR 00717

33aNPI1932275484assigned 11/27/2006

33bProvider typeEndocrinology, Diabetes & Metabolism Physician

28Total paid$15K

24GClaims593

24DCodes billed2

24AFirst – last monthFeb 2018 – Aug 2019

Compared with peers

Next to other Endocrinology, Diabetes & Metabolism Physician providers in Puerto Rico

Rank by total paid#32 of 52

Median peer was paid$23K

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
2018	445	$15K
2019	148	$0.00

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	59%	509	481	$9K
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	41%	84	77	$6K

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.