Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Amador-Chacon, Nestor

Amador-Chacon, Nestor was paid $313K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.

33Billing provider infoAMADOR-CHACON, NESTOR
MANATI, PR 00674
33aNPI1497968143assigned 05/08/2007
33bProvider typeAdult Medicine Physician
28Total paid$313K
24GClaims6,080
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Adult Medicine Physician providers in Puerto Rico

Rank by total paid#1 of 9
Median peer was paid$230.00
This provider vs. median1,361×

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
20181,308$44K
2019963$18K
2020736$35K
2021959$61K
2022783$50K
2023785$64K
2024incomplete546$41K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 65% 4,631 4,272 $203K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 27% 1,213 1,171 $85K
52000 6.6% 185 175 $21K
99222 Initial hospital care, per day, moderate complexity 1.4% 38 37 $4K
96401 <1% 13 12 $472.95

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.