Clinic
Nefrologia CSP
Nefrologia CSP was paid $356K by Medicaid between Jan 2018 and Nov 2024, across 5 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 — 39% of everything it billed.
33Billing provider infoNEFROLOGIA CSP
MANATI, PR 00674
MANATI, PR 00674
33aNPI1588048482assigned 07/10/2015
33bProvider typeMedical Specialty Clinic/Center
28Total paid$356K
24GClaims4,418
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Puerto Rico
Rank by total paid#14 of 54
Median peer was paid$61K
This provider vs. median5.8×
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 | 1,293 | $66K | |
| 2019 | 370 | $37K | |
| 2020 | 257 | $37K | |
| 2021 | 311 | $31K | |
| 2022 | 725 | $67K | |
| 2023 | 729 | $62K | |
| 2024incomplete | 733 | $55K |
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 | 39% | 1,069 | 1,017 | $137K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 29% | 1,481 | 644 | $105K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 1,750 | 1,547 | $105K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.2% | 106 | 87 | $8K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 12 | 12 | $1K |
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.
From NPPES
Who's on the registration
Authorized officialCRUZ SOTO, MANUEL (PRESIDENT)