Physician
Nephrocare, LLC
Nephrocare, LLC was paid $10K by Medicaid between Apr 2023 and Oct 2024, across 3 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 49% of everything it billed.
33Billing provider infoNEPHROCARE, LLC
GUAYAMA, PR 00785
GUAYAMA, PR 00785
33aNPI1164142741assigned 09/01/2022
33bProvider typeNephrology Physician
28Total paid$10K
24GClaims88
24DCodes billed3
24AFirst – last monthApr 2023 – Oct 2024
Compared with peers
Next to other Nephrology Physician providers in Puerto Rico
Rank by total paid#57 of 81
Median peer was paid$66K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2023 | 62 | $6K | |
| 2024incomplete | 26 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 49% | 50 | 46 | $5K |
| 99223 | Prolong inpt eval add15 m | 41% | 26 | 12 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 12 | 12 | $1K |
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 officialCORDERO TORRES, EMMANUELLE (PRESIDENT)