Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Negron-Nazario, Carlos

Negron-Nazario, Carlos was paid $25K by Medicaid between Sep 2022 and Jul 2024, across 4 billing codes. Its largest line is 99221, — 47% of everything it billed.

33Billing provider infoNEGRON-NAZARIO, CARLOS
MAYAGUEZ, PR 00681
33aNPI1245603125assigned 11/02/2015
28Total paid$25K
24GClaims591
24DCodes billed4
24AFirst – last monthSep 2022 – Jul 2024
Compared with peers

Next to other Student in an Organized Health Care Education/Training Program providers in Puerto Rico

Rank by total paid#44 of 77
Median peer was paid$39K
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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
202232$1K
2023118$3K
2024incomplete441$20K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99221 47% 277 139 $12K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 31% 59 19 $8K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 17% 87 86 $4K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 4.6% 168 123 $1K

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.