Colon Sanchez, Nestor

Colon Sanchez, Nestor was paid $5K by Medicaid between Jan 2018 and Mar 2023, across 4 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 98% of everything it billed.

33Billing provider infoCOLON SANCHEZ, NESTOR
FAJARDO, PR 00738

33aNPI1174501373assigned 01/06/2006

33bProvider typePediatrics Physician

28Total paid$5K

24GClaims160

24DCodes billed4

24AFirst – last monthJan 2018 – Mar 2023

Compared with peers

Next to other Pediatrics Physician providers in Puerto Rico

Rank by total paid#102 of 194

Median peer was paid$7K

This provider vs. median0.7×

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	61	$0.00
2022	37	$3K
2023	62	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	98%	55	47	$5K
99401		1.6%	32	13	$82.16
99173		<1%	12	12	$4.80
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	0%	61	49	$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.