Physician
Nefrologos Asociados Del Norte
Nefrologos Asociados Del Norte was paid $395K by Medicaid between Jan 2018 and Oct 2024, across 7 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 — 65% of everything it billed.
33Billing provider infoNEFROLOGOS ASOCIADOS DEL NORTE
ARECIBO, PR 00612
ARECIBO, PR 00612
33aNPI1184729428assigned 09/13/2006
33bProvider typeNephrology Physician
28Total paid$395K
24GClaims5,211
24DCodes billed7
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Nephrology Physician providers in Puerto Rico
Rank by total paid#10 of 81
Median peer was paid$66K
This provider vs. median6.0×
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 | 1,645 | $91K | |
| 2019 | 1,003 | $45K | |
| 2020 | 858 | $52K | |
| 2021 | 519 | $50K | |
| 2022 | 125 | $14K | |
| 2023 | 442 | $58K | |
| 2024incomplete | 619 | $86K |
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 | 65% | 1,483 | 1,410 | $259K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 14% | 809 | 766 | $54K |
| 99223 | Prolong inpt eval add15 m | 7.7% | 632 | 561 | $30K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.7% | 1,559 | 440 | $26K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 4.4% | 546 | 187 | $17K |
| 99221 | 1.2% | 64 | 60 | $5K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 118 | 55 | $3K |
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 officialGARCIA, MILTON (PRESIDENT)