Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › San Juan › NPI 1104916659
Physician

Metropolitan Nephrology Associates PSC

Metropolitan Nephrology Associates PSC was paid $18K by Medicaid between Jan 2018 and Jun 2018, across 2 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 82% of everything it billed.

33Billing provider infoMETROPOLITAN NEPHROLOGY ASSOCIATES PSC
SAN JUAN, PR 00921
33aNPI1104916659assigned 10/13/2006
33bProvider typeNephrology Physician
28Total paid$18K
24GClaims139
24DCodes billed2
24AFirst – last monthJan 2018 – Jun 2018
Compared with peers

Next to other Nephrology Physician providers in Puerto Rico

Rank by total paid#54 of 81
Median peer was paid$66K
This provider vs. median0.3×

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$2.0K$4.0K2018201920202021202220232024
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
2018139$18K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 82% 116 80 $14K
90961 18% 23 13 $3K

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 officialRIVERA, ANGEL (PRESIDENT)