Gutierrez Nieves, Alex

Gutierrez Nieves, Alex was paid $455K by Medicaid between May 2019 and Nov 2023, across 12 billing codes. Its largest line is 99235, — 33% of everything it billed.

33Billing provider infoGUTIERREZ NIEVES, ALEX
NARANJITO, PR 00719

33aNPI1114297868assigned 01/11/2012

33bProvider typeGeneral Practice Physician

28Total paid$455K

24GClaims7,445

24DCodes billed12

24AFirst – last monthMay 2019 – Nov 2023

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#51 of 1,195

Median peer was paid$2K

This provider vs. median223×

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
2019	559	$10K
2020	404	$10K
2021	2,367	$158K
2022	2,814	$195K
2023	1,301	$81K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99235		33%	1,292	1,147	$148K
93268		30%	746	686	$138K
99234		12%	610	558	$57K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	8.6%	1,166	1,062	$39K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	4.1%	1,001	951	$18K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	3.7%	1,173	1,029	$17K
96360	Intravenous infusion, hydration; initial, 31 minutes to 1 hour	3.1%	733	644	$14K
99236	Prolong inpt eval add15 m	3.0%	93	86	$13K
99220		<1%	38	37	$4K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	546	495	$3K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	<1%	35	25	$3K
76140		<1%	12	12	$117.40

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.