Colon, Jose

Colon, Jose was paid $210K by Medicaid between Jan 2018 and Aug 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.

33Billing provider infoCOLON, JOSE
SAN JUAN, PR 00917

33aNPI1962486423assigned 11/30/2005

33bProvider typeCardiovascular Disease Physician

28Total paid$210K

24GClaims6,800

24DCodes billed8

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Cardiovascular Disease Physician providers in Puerto Rico

Rank by total paid#69 of 174

Median peer was paid$109K

This provider vs. median1.9×

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	885	$15K
2019	971	$12K
2020	1,271	$41K
2021	1,608	$50K
2022	809	$33K
2023	970	$46K
2024incomplete	286	$13K

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	39%	1,711	1,578	$81K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	38%	1,438	1,363	$79K
93000		8.7%	1,260	1,191	$18K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	7.2%	1,707	1,607	$15K
99205	Prolong outpt/office vis	3.1%	292	279	$7K
99243		2.4%	104	104	$5K
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	1.9%	221	202	$4K
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%	67	66	$987.00

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.