Alvarez, Praxedes

Alvarez, Praxedes was paid $543K by Medicaid between Jan 2018 and Oct 2024, across 8 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 — 76% of everything it billed.

33Billing provider infoALVAREZ, PRAXEDES
PONCE, PR 00716

33aNPI1609837285assigned 03/31/2006

33bProvider typeNephrology Physician

28Total paid$543K

24GClaims5,346

24DCodes billed8

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Nephrology Physician providers in Puerto Rico

Rank by total paid#6 of 81

Median peer was paid$66K

This provider vs. median8.2×

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
2018	1,252	$63K
2019	1,189	$68K
2020	882	$73K
2021	547	$64K
2022	513	$81K
2023	526	$95K
2024incomplete	437	$99K

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	76%	2,767	2,454	$412K
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	11%	718	618	$60K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	7.3%	896	364	$39K
99244	Office or other outpatient consultation, moderate to high complexity	3.0%	626	595	$16K
99223	Prolong inpt eval add15 m	1.4%	54	44	$8K
90935	Hemodialysis procedure with single evaluation by a physician	<1%	146	52	$5K
90961		<1%	123	122	$2K
99254		<1%	16	16	$577.76

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.