Physician
Vega, Nelson
Vega, Nelson was paid $1.09M by Medicaid between Dec 2018 and Dec 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoVEGA, NELSON
MIAMI, FL 33165
MIAMI, FL 33165
33aNPI1235148156assigned 08/07/2006
33bProvider typePediatrics Physician
28Total paid$1.09M
24GClaims21,106
24DCodes billed32
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#250 of 971
Median peer was paid$238K
This provider vs. median4.6×
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 | 177 | $7K | |
| 2019 | 652 | $22K | |
| 2020 | 2,746 | $127K | |
| 2021 | 3,568 | $185K | |
| 2022 | 4,164 | $225K | |
| 2023 | 5,709 | $277K | |
| 2024incomplete | 4,090 | $249K |
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 | 36% | 4,600 | 4,014 | $393K |
| 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 | 25% | 2,352 | 2,124 | $278K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 882 | 867 | $125K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.3% | 656 | 650 | $101K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.2% | 420 | 412 | $67K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.9% | 6,089 | 2,282 | $42K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.1% | 1,038 | 1,020 | $34K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.4% | 145 | 140 | $26K |
| 92552 | 1.3% | 1,475 | 1,453 | $14K | |
| 92081 | <1% | 1,135 | 1,114 | $8K | |
| 94664 | <1% | 86 | 81 | $2K | |
| 90461 | <1% | 370 | 313 | $908.31 |
20 more codes
| 90686 | <1% | 435 | $730.06 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 102 | $219.02 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 31 | $86.60 |
| 90651 | <1% | 13 | $35.51 | |
| 90633 | <1% | 123 | $0.01 | |
| 90671 | <1% | 127 | $0.01 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 17 | $0.00 |
| 90680 | 0% | 121 | $0.00 | |
| 90744 | 0% | 14 | $0.00 | |
| 90677 | 0% | 24 | $0.00 | |
| 97802 | 0% | 28 | $0.00 | |
| 2015F | 0% | 26 | $0.00 | |
| 90716 | 0% | 26 | $0.00 | |
| 36416 | 0% | 12 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 60 | $0.00 |
| 90670 | 0% | 258 | $0.00 | |
| 90700 | 0% | 281 | $0.00 | |
| 90648 | 0% | 103 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 15 | $0.00 |
| 90713 | 0% | 42 | $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.