De LA Pena, Nicolas

De LA Pena, Nicolas was paid $183K by Medicaid between Dec 2020 and Dec 2024, across 3 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 64% of everything it billed.

33Billing provider infoDE LA PENA, NICOLAS
PITTSBURGH, PA 15206

33aNPI1477554772assigned 08/09/2005

33bProvider typeInfectious Disease Physician

28Total paid$183K

24GClaims3,287

24DCodes billed3

24AFirst – last monthDec 2020 – Dec 2024

Compared with peers

Next to other Infectious Disease Physician providers in Pennsylvania

Rank by total paid#15 of 87

Median peer was paid$26K

This provider vs. median7.2×

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
2020	55	$785.40
2021	770	$22K
2022	698	$36K
2023	808	$58K
2024incomplete	956	$67K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	64%	1,771	584	$117K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	32%	1,420	556	$58K
99255		4.5%	96	94	$8K

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.