Colon Zayas, Carmen

Colon Zayas, Carmen was paid $38K by Medicaid between Feb 2018 and Aug 2022, across 3 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 — 83% of everything it billed.

33Billing provider infoCOLON ZAYAS, CARMEN
VILLALBA, PR 00766

33aNPI1598931024assigned 05/05/2008

33bProvider typeNephrology Physician

28Total paid$38K

24GClaims443

24DCodes billed3

24AFirst – last monthFeb 2018 – Aug 2022

Compared with peers

Next to other Nephrology Physician providers in Puerto Rico

Rank by total paid#46 of 81

Median peer was paid$66K

This provider vs. median0.6×

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	156	$11K
2019	78	$2K
2020	83	$4K
2021	89	$15K
2022	37	$6K

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	83%	244	228	$31K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	13%	149	40	$5K
99253		4.2%	50	43	$2K

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.