Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › ID › Boise › NPI 1073781373
Physician

Roberto A. Negron, M.D., P.C.

Roberto A. Negron, M.D., P.C. was paid $776K by Medicaid between Jan 2018 and Jun 2024, across 7 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 64% of everything it billed.

33Billing provider infoROBERTO A. NEGRON, M.D., P.C.
BOISE, ID 83704
33aNPI1073781373assigned 02/20/2008
33bProvider typePsychiatry Physician
28Total paid$776K
24GClaims12,411
24DCodes billed7
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers

Next to other Psychiatry Physician providers in Idaho

Rank by total paid#7 of 29
Median peer was paid$184K
This provider vs. median4.2×

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$10K$20K$30K2018201920202021202220232024
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
20181,235$66K
20191,497$78K
20202,114$135K
20211,608$110K
20222,791$183K
20232,336$150K
2024incomplete830$54K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 64% 9,446 3,013 $498K
99223 Prolong inpt eval add15 m 22% 1,242 1,202 $172K
90792 Psychiatric diagnostic evaluation with medical services 6.3% 475 462 $49K
99238 Hospital discharge day management, 30 minutes or less 5.6% 839 821 $43K
99231 Subsequent hospital care, per day, straightforward or low complexity 1.1% 341 193 $8K
99222 Initial hospital care, per day, moderate complexity <1% 48 48 $5K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m <1% 20 12 $2K

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.

From NPPES

Who's on the registration

Authorized officialNEGRON, ROBERTO (OWNER)