Yunes, Milagros

Yunes, Milagros was paid $75K by Medicaid between Jul 2020 and Aug 2024, across 6 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 77% of everything it billed.

33Billing provider infoYUNES, MILAGROS
TRUMBULL, CT 06611

33aNPI1295117810assigned 06/19/2015

33bProvider typeNephrology Physician

28Total paid$75K

24GClaims1,440

24DCodes billed6

24AFirst – last monthJul 2020 – Aug 2024

Compared with peers

Next to other Nephrology Physician providers in Connecticut

Rank by total paid#9 of 20

Median peer was paid$52K

This provider vs. median1.5×

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
2020	200	$7K
2021	361	$16K
2022	340	$23K
2023	230	$15K
2024incomplete	309	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	77%	679	679	$58K
90961		10%	120	120	$8K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	5.4%	280	150	$4K
90935	Hemodialysis procedure with single evaluation by a physician	4.5%	289	182	$3K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	2.1%	59	28	$2K
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	<1%	13	13	$290.87

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.