Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1003816802assigned 07/22/2005
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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
201870$6K
202014$747.36
2021268$13K
2022145$7K
2023127$8K
2024incomplete209$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.