Bertran, Nitza
Bertran, Nitza was paid $43K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
33Billing provider infoBERTRAN, NITZA
RIO GRANDE, PR 00745
RIO GRANDE, PR 00745
33aNPI1114970316assigned 05/18/2006
33bProvider typeSpecialist
28Total paid$43K
24GClaims24,540
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Puerto Rico
Rank by total paid#136 of 316
Median peer was paid$26K
This provider vs. median1.7×
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 | 37 | $0.00 | |
| 2019 | 781 | $390.00 | |
| 2020 | 1,632 | $658.21 | |
| 2021 | 2,609 | $2K | |
| 2022 | 3,202 | $5K | |
| 2023 | 6,983 | $30K | |
| 2024incomplete | 9,296 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 59% | 3,274 | 2,362 | $25K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 17,790 | 10,475 | $12K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.9% | 833 | 608 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.4% | 1,045 | 807 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.5% | 588 | 436 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 128 | 98 | $278.41 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 283 | 245 | $183.60 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 355 | 328 | $136.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 162 | 117 | $0.00 |
| 96160 | 0% | 41 | 39 | $0.00 | |
| 96127 | 0% | 41 | 39 | $0.00 |
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.