Castillo-Nieves, Edgardo

Castillo-Nieves, Edgardo was paid $34K by Medicaid between Jan 2018 and Sep 2023, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.

33Billing provider infoCASTILLO-NIEVES, EDGARDO
LEHIGH ACRES, FL 33936

33aNPI1508039819assigned 04/08/2008

33bProvider typeInternal Medicine Physician

28Total paid$34K

24GClaims1,718

24DCodes billed9

24AFirst – last monthJan 2018 – Sep 2023

Compared with peers

Next to other Internal Medicine Physician providers in Florida

Rank by total paid#384 of 1,247

Median peer was paid$9K

This provider vs. median3.9×

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	191	$1K
2019	355	$5K
2020	493	$8K
2021	297	$5K
2022	147	$5K
2023	235	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	80%	1,106	979	$27K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	20%	401	340	$7K
1124F		0%	31	31	$0.00
1158F		0%	34	33	$0.00
1160F		0%	34	33	$0.00
1159F		0%	34	33	$0.00
G0444	Annual depression screening, 5 to 15 minutes	0%	26	19	$0.00
1126F		0%	18	17	$0.00
1170F		0%	34	33	$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.