Physician
Robles Nieves, Juan
Robles Nieves, Juan was paid $904.02 by Medicaid between Jan 2018 and Sep 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoROBLES NIEVES, JUAN
SAN SEBASTIAN, PR 00685
SAN SEBASTIAN, PR 00685
33aNPI1417280603assigned 09/07/2009
33bProvider typeGeneral Practice Physician
28Total paid$904.02
24GClaims21,494
24DCodes billed30
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#702 of 1,195
Median peer was paid$2K
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 | 17,507 | $562.04 | |
| 2019 | 112 | $0.00 | |
| 2020 | 897 | $0.00 | |
| 2021 | 461 | $0.00 | |
| 2022 | 1,064 | $64.94 | |
| 2023 | 1,378 | $69.26 | |
| 2024incomplete | 75 | $207.78 |
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 | 39% | 775 | 706 | $354.66 |
| 3078F | 21% | 2,279 | 1,973 | $190.00 | |
| 3074F | 17% | 1,639 | 1,366 | $150.00 | |
| 3075F | 6.6% | 1,041 | 979 | $60.00 | |
| 1157F | 4.9% | 432 | 414 | $44.00 | |
| 1158F | 4.9% | 427 | 411 | $44.00 | |
| 3079F | 4.0% | 440 | 404 | $36.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.8% | 2,750 | 2,268 | $25.36 |
| 3008F | 0% | 2,944 | 2,489 | $0.00 | |
| 1170F | 0% | 104 | 104 | $0.00 | |
| 3324F | 0% | 21 | 13 | $0.00 | |
| 3330F | 0% | 291 | 252 | $0.00 |
18 more codes
| 3044F | 0% | 379 | $0.00 | |
| 1126F | 0% | 423 | $0.00 | |
| 1036F | 0% | 1,309 | $0.00 | |
| 3017F | 0% | 206 | $0.00 | |
| 1125F | 0% | 1,331 | $0.00 | |
| 3048F | 0% | 170 | $0.00 | |
| 3061F | 0% | 392 | $0.00 | |
| 1111F | 0% | 388 | $0.00 | |
| 3049F | 0% | 108 | $0.00 | |
| 3060F | 0% | 16 | $0.00 | |
| 1160F | 0% | 1,739 | $0.00 | |
| 2028F | 0% | 13 | $0.00 | |
| 1159F | 0% | 1,743 | $0.00 | |
| 2022F | 0% | 12 | $0.00 | |
| 99442 | 0% | 20 | $0.00 | |
| 4035F | 0% | 54 | $0.00 | |
| 3006F | 0% | 35 | $0.00 | |
| 3050F | 0% | 13 | $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.