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Treatment Tracker

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $231 per patient in 2012.
They performed about 5 services per patient. Here’s how this provider compares.
Number of
Patients
561
Rank: 3rd
out of 749 providers in this state & specialty
Services
Performed
39,522
Rank: 1st
out of 749 providers in this state & specialty
Avg Services
Per Patient
70.4 This Provider is in the top 10%
Avg 4.7
Total Paid
by Medicare
$534K
Rank: 1st
out of 749 providers in this state & specialty
Avg Paid
Per Patient
$952 This Provider is in the top 10%
Avg $231

Office Visits

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Top Billing

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Medicare reimburses office visits using a five-point scale, with five being the most intensive and costly. The chart below shows what percentage of this provider’s office visits were reimbursed at each level. A higher than average proportion of costly visits is not necessarily an indication of a problem, but it may be worth asking about.

Hover over each slice to see percentage breakdown.

Jose L. Munoz Benedicto
Average for Internal Medicine Providers in Puerto Rico

Who Patients See Before and After This Provider

Providers often refer their patients to a small network of other providers and organizations. Here’s who patients saw the most patients within 30 days before or after this provider, from Jan. 2012 to June 2013.

Individuals

ANTONIO MATTEI

VICENTE ALCARAZ

MARIA BERROCAL-FERNANDE

DIANA FERNANDEZ GARCIA

FEDERICO MAESTRE GRAU

Organizations

CENTRO MEDICO DEL TURAB...

HOSPITAL ESPANOL AUXILI...

Patients saw before

Jose L. Munoz Benedicto

Patients saw after

This Provider's Services

This provider performed 19 different services in 2012
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
DRUGS

Injection, natalizumab (tysabri), 1 mg

Service Code: J2323
Performed in an office
27,900
times performed,
71% of his services

1st Alert

most performed service for this provider 5 or fewer providers in this specialty in PR perform this service

24
patients got this service, 4% of his patients
3.9
average number of visits a patient made for this service
$306,900an average of $11 per time performed $251,100
an average of $9 per time performed
DRUGS

Injection, abatacept (orencia), 10 mg

Service Code: J0129
Performed in an office
5,700
times performed,
14% of his services

2nd Alert

most performed service for this provider 5 or fewer providers in this specialty in PR perform this service

19
patients got this service, 3% of his patients
4.3
average number of visits a patient made for this service
$125,400an average of $22 per time performed $96,900
an average of $17 per time performed
DRUGS

Injection, denosumab (prolia, xgeva), 1 mg

Service Code: J0897
Performed in an office
4,021
times performed,
10% of his services

3rd Alert

most performed service for this provider 5 or fewer providers in this specialty in PR perform this service

68
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
$60,315an average of $15 per time performed $44,231
an average of $11 per time performed
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
334
times performed,
0.85% of his services

4th Alert

most performed service for this provider 5 or fewer providers in this specialty in PR perform this service

76
patients got this service, 14% of his patients
4.4
average number of visits a patient made for this service
$29,726an average of $89 per time performed $23,380
an average of $70 per time performed
MEDICINE

Routine ekg using at least 12 leads including interpretat... +

Routine ekg using at least 12 leads including interpretation and report ×

Service Code: 93000
Performed in an office
247
times performed,
0.62% of his services

5th 10th

most performed service for this provider most performed service in this state & specialty

235
patients got this service, 42% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$5,928an average of $24 per time performed $2,717
an average of $11 per time performed
DRUGS

Injection, ibandronate sodium (boniva), 1 mg

Service Code: J1740
Performed in an office
246
times performed,
0.62% of his services

6th Alert

most performed service for this provider 5 or fewer providers in this specialty in PR perform this service

52
patients got this service, 9% of his patients
1.6
average number of visits a patient made for this service
$37,392an average of $152 per time performed $28,782
an average of $117 per time performed
DRUGS

Injection, zoledronic acid (reclast), 1 mg

Service Code: J3488
Performed in an office
220
times performed,
0.56% of his services

7th Alert

most performed service for this provider 5 or fewer providers in this specialty in PR perform this service

44
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
$49,280an average of $224 per time performed $38,500
an average of $175 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 25 minutes ×

Service Code: 99214
Performed in an office
192
times performed,
0.49% of his services

8th 3rd

most performed service for this provider most performed service in this state & specialty

69
patients got this service, 12% of his patients
2.8
average number of visits a patient made for this service
(Peers: 2.6)
$29,568an average of $154 per time performed $12,096
an average of $63 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 4... +

New patient office or other outpatient visit, typically 45 minutes ×

Service Code: 99204
Performed in an office
168
times performed,
0.43% of his services

9th 17th

most performed service for this provider most performed service in this state & specialty

168
patients got this service, 30% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$36,624an average of $218 per time performed $16,632
an average of $99 per time performed
MEDICINE

Injection of drug or substance into a vein for therapy, d... +

Injection of drug or substance into a vein for therapy, diagnosis, or prevention ×

Service Code: 96374
Performed in an office
81
times performed,
0.2% of his services

10th Alert

most performed service for this provider 5 or fewer providers in this specialty in PR perform this service

52
patients got this service, 9% of his patients
1.6
average number of visits a patient made for this service
$2,997an average of $37 per time performed $2,349
an average of $29 per time performed
MEDICINE

Non-hormonal anti-neoplastic chemotherapy beneath the ski... +

Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle ×

Service Code: 96401
Performed in an office
79
times performed,
0.2% of his services

11th Alert

most performed service for this provider 5 or fewer providers in this specialty in PR perform this service

63
patients got this service, 11% of his patients
1.2
average number of visits a patient made for this service
$4,029an average of $51 per time performed $3,160
an average of $40 per time performed
MEDICINE

Infusion of chemotherapy into a vein

Service Code: 96415
Performed in an office
72
times performed,
0.18% of his services

12th Alert

most performed service for this provider 5 or fewer providers in this specialty in PR perform this service

13
patients got this service, 2% of his patients
3.4
average number of visits a patient made for this service
$1,440an average of $20 per time performed $1,152
an average of $16 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 3... +

New patient office or other outpatient visit, typically 30 minutes ×

Service Code: 99203
Performed in an office
50
times performed,
0.13% of his services

13th 21st

most performed service for this provider most performed service in this state & specialty

50
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$9,150an average of $183 per time performed $3,400
an average of $68 per time performed
MEDICINE

Infusion into a vein for therapy, prevention, or diagnosi... +

Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour ×

Service Code: 96365
Performed in an office
47
times performed,
0.12% of his services

14th Alert

most performed service for this provider 5 or fewer providers in this specialty in PR perform this service

47
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
$2,397an average of $51 per time performed $1,786
an average of $38 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in an office
44
times performed,
0.11% of his services

15th 1st

most performed service for this provider most performed service in this state & specialty

27
patients got this service, 5% of his patients
1.6
average number of visits a patient made for this service
(Peers: 2.9)
$4,840an average of $110 per time performed $1,892
an average of $43 per time performed
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 70 minutes per... +

Initial hospital inpatient care, typically 70 minutes per day ×

Service Code: 99223
Performed in a facility
44
times performed,
0.11% of his services

16th 6th

most performed service for this provider most performed service in this state & specialty

42
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$9,724an average of $221 per time performed $5,588
an average of $127 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 40 minutes ×

Service Code: 99215
Performed in an office
33
times performed,
0.08% of his services

17th 22nd

most performed service for this provider most performed service in this state & specialty

22
patients got this service, 4% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.9)
$7,029an average of $213 per time performed $2,871
an average of $87 per time performed
MEDICINE

Routine electrocardiogram (ekg) using at least 12 leads w... +

Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report ×

Service Code: 93010
Performed in a facility
31
times performed,
0.08% of his services

18th 7th

most performed service for this provider most performed service in this state & specialty

23
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$310an average of $10 per time performed $186
an average of $6 per time performed
MEDICINE

Injection beneath the skin or into muscle for therapy, di... +

Injection beneath the skin or into muscle for therapy, diagnosis, or prevention ×

Service Code: 96372
Performed in an office
13
times performed,
0.03% of his services

19th Alert

most performed service for this provider 5 or fewer providers in this specialty in PR perform this service

12
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
$156an average of $12 per time performed $117
an average of $9 per time performed

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2013 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

Notes: This provider has a self-reported specialty of "Internal Medicine." In some cases the self-reported specialty may differ from the specialty listed above, which comes from Medicare. Medicare redacted this data for any services provided to fewer than 11 patients.

Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org. Here's a link to Medicare's data on this provider.


Read our methodology.


Credits: Warning icon designed by Stefan Parnarov from the Noun Project.