Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › Santa Isabel › NPI 1124214903
Physician

Matos-Fernandez, Nelson

Matos-Fernandez, Nelson was paid $13K by Medicaid between Jan 2018 and Jan 2018, across 7 billing codes. Its largest line is Q0084, Chemotherapy administration by infusion technique only, per visit — 46% of everything it billed.

33Billing provider infoMATOS-FERNANDEZ, NELSON
SANTA ISABEL, PR 00797
33aNPI1124214903assigned 09/14/2007
28Total paid$13K
24GClaims275
24DCodes billed7
24AFirst – last monthJan 2018 – Jan 2018
Compared with peers

Next to other Hematology & Oncology Physician providers in Puerto Rico

Rank by total paid#47 of 59
Median peer was paid$110K
This provider vs. median0.1×

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$5.0K$10K$15K2018201920202021202220232024
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
2018275$13K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
Q0084 Chemotherapy administration by infusion technique only, per visit 46% 84 39 $6K
96415 23% 37 21 $3K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 17% 40 23 $2K
96367 9.1% 42 23 $1K
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 3.2% 21 21 $404.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 25 14 $60.00
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 26 13 $49.92

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.