Sanmiguel, Luis

Sanmiguel, Luis was paid $17K by Medicaid between Jan 2018 and Dec 2021, across 2 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 91% of everything it billed.

33Billing provider infoSANMIGUEL, LUIS
CAROLINA, PR 00987

33aNPI1164403077assigned 11/08/2005

33bProvider typeNephrology Physician

28Total paid$17K

24GClaims196

24DCodes billed2

24AFirst – last monthJan 2018 – Dec 2021

Compared with peers

Next to other Nephrology Physician providers in Puerto Rico

Rank by total paid#55 of 81

Median peer was paid$66K

This provider vs. median0.3×

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	18	$2K
2020	152	$12K
2021	26	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	91%	184	171	$16K
99223	Prolong inpt eval add15 m	9.2%	12	12	$2K

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.