Physician
Gomez Amalbert, Nicolas
Gomez Amalbert, Nicolas was paid $7K by Medicaid between Jun 2019 and Dec 2020, across 11 billing codes. Its largest line is 99283, emergency room visit (moderate) — 100% of everything it billed.
33Billing provider infoGOMEZ AMALBERT, NICOLAS
CEIBA, PR 00735
CEIBA, PR 00735
33aNPI1174719694assigned 09/18/2007
33bProvider typeGeneral Practice Physician
28Total paid$7K
24GClaims806
24DCodes billed11
24AFirst – last monthJun 2019 – Dec 2020
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#452 of 1,195
Median peer was paid$2K
This provider vs. median3.4×
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 | |
|---|---|---|---|
| 2019 | 350 | $864.99 | |
| 2020 | 456 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 100% | 273 | 244 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 15 | 14 | $0.00 |
| 1159F | 0% | 46 | 34 | $0.00 | |
| 1160F | 0% | 46 | 34 | $0.00 | |
| 3078F | 0% | 62 | 47 | $0.00 | |
| 96160 | 0% | 35 | 26 | $0.00 | |
| 3008F | 0% | 61 | 51 | $0.00 | |
| 3074F | 0% | 64 | 50 | $0.00 | |
| 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% | 138 | 110 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 35 | 26 | $0.00 |
| 1170F | 0% | 31 | 22 | $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.