Nefrosur CSP

Nefrosur CSP was paid $153K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.

33Billing provider infoNEFROSUR CSP
PONCE, PR 00717

33aNPI1154373546assigned 05/16/2006

33bProvider typeNephrology Physician

28Total paid$153K

24GClaims3,447

24DCodes billed6

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Nephrology Physician providers in Puerto Rico

Rank by total paid#27 of 81

Median peer was paid$66K

This provider vs. median2.3×

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

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	939	$26K
2019	735	$23K
2020	286	$21K
2021	170	$8K
2022	437	$21K
2023	497	$30K
2024incomplete	383	$24K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	40%	1,562	1,368	$62K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	39%	1,483	556	$60K
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	18%	312	274	$28K
90961		1.2%	61	57	$2K
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%	12	12	$851.51
3008F		0%	17	13	$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.

From NPPES

Who's on the registration

Authorized officialRIVERA SANTOS, ANGEL (PRESIDENT)