Physician
Candelario, Nicole
Candelario, Nicole was paid $16K by Medicaid between Mar 2023 and Apr 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.
33Billing provider infoCANDELARIO, NICOLE
CAGUAS, PR 00725
CAGUAS, PR 00725
33aNPI1215243829assigned 08/20/2010
33bProvider typeDermatology Physician
28Total paid$16K
24GClaims462
24DCodes billed2
24AFirst – last monthMar 2023 – Apr 2024
Compared with peers
Next to other Dermatology Physician providers in Puerto Rico
Rank by total paid#21 of 34
Median peer was paid$25K
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 | |
|---|---|---|---|
| 2023 | 273 | $12K | |
| 2024incomplete | 189 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 100% | 259 | 240 | $16K |
| 1159F | 0% | 203 | 186 | $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.