Nieves, Walter

Nieves, Walter was paid $68K by Medicaid between Feb 2018 and May 2024, across 5 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 64% of everything it billed.

33Billing provider infoNIEVES, WALTER
ISABELA, PR 00662

33aNPI1225007453assigned 03/17/2006

33bProvider typeOphthalmology Physician

28Total paid$68K

24GClaims1,365

24DCodes billed5

24AFirst – last monthFeb 2018 – May 2024

Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#93 of 141

Median peer was paid$163K

This provider vs. median0.4×

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
2018	434	$20K
2019	456	$23K
2020	157	$9K
2021	131	$7K
2022	31	$759.65
2023	88	$5K
2024incomplete	68	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	64%	596	494	$44K
92015	Determination of refractive state	32%	649	537	$21K
92250		2.4%	40	39	$2K
92020		1.4%	66	62	$982.96
92226		<1%	14	14	$175.98

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.