Physician
Aponte-Reyes, Nestor
Aponte-Reyes, Nestor was paid $47K by Medicaid between Jan 2018 and Sep 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoAPONTE-REYES, NESTOR
MANATI, PR 00674
MANATI, PR 00674
33aNPI1003816802assigned 07/22/2005
33bProvider typeGastroenterology Physician
28Total paid$47K
24GClaims833
24DCodes billed5
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Gastroenterology Physician providers in Puerto Rico
Rank by total paid#54 of 107
Median peer was paid$47K
This provider vs. median1.0×
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 | 70 | $6K | |
| 2020 | 14 | $747.36 | |
| 2021 | 268 | $13K | |
| 2022 | 145 | $7K | |
| 2023 | 127 | $8K | |
| 2024incomplete | 209 | $12K |
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 | 56% | 478 | 444 | $26K |
| 99070 | 19% | 246 | 236 | $9K | |
| 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 | 15% | 68 | 66 | $7K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 9.2% | 15 | 15 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 26 | 24 | $40.96 |
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.