Nieves-Torres, Jose

Nieves-Torres, Jose was paid $6K by Medicaid between Jan 2018 and May 2019, across 4 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 66% of everything it billed.

33Billing provider infoNIEVES-TORRES, JOSE
MAYAGUEZ, PR 00680

33aNPI1265405567assigned 02/08/2006

33bProvider typeSurgery Physician

28Total paid$6K

24GClaims377

24DCodes billed4

24AFirst – last monthJan 2018 – May 2019

Compared with peers

Next to other Surgery Physician providers in Puerto Rico

Rank by total paid#84 of 111

Median peer was paid$28K

This provider vs. median0.2×

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	282	$5K
2019	95	$639.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	66%	226	178	$4K
99201		27%	71	67	$2K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	3.5%	32	32	$196.00
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.4%	48	44	$190.50

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.