Physician
Negroni Pedroza, Maria
Negroni Pedroza, Maria was paid $99K by Medicaid between Jul 2020 and Nov 2024, across 26 billing codes. Its largest line is 99234, — 67% of everything it billed.
33Billing provider infoNEGRONI PEDROZA, MARIA
AIBONITO, PR 00705
AIBONITO, PR 00705
33aNPI1659995967assigned 06/02/2020
33bProvider typeGeneral Practice Physician
28Total paid$99K
24GClaims8,479
24DCodes billed26
24AFirst – last monthJul 2020 – Nov 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#183 of 1,195
Median peer was paid$2K
This provider vs. median48×
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 | |
|---|---|---|---|
| 2020 | 407 | $32K | |
| 2021 | 1,032 | $54K | |
| 2022 | 707 | $290.76 | |
| 2023 | 2,732 | $9K | |
| 2024incomplete | 3,601 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99234 | 67% | 969 | 943 | $66K | |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 17% | 143 | 125 | $16K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.6% | 1,717 | 1,331 | $7K |
| 99217 | 4.3% | 107 | 107 | $4K | |
| 99443 | 2.4% | 170 | 143 | $2K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.7% | 231 | 229 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 140 | 107 | $559.40 |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | <1% | 18 | 16 | $291.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 15 | 15 | $285.60 |
| 96127 | <1% | 345 | 303 | $78.64 | |
| 96160 | <1% | 287 | 261 | $5.42 | |
| 99173 | 0% | 29 | 28 | $0.00 |
14 more codes
| 3078F | 0% | 246 | $0.00 | |
| 1159F | 0% | 706 | $0.00 | |
| 1160F | 0% | 716 | $0.00 | |
| 3725F | 0% | 79 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 13 | $0.00 |
| 1158F | 0% | 29 | $0.00 | |
| 3008F | 0% | 943 | $0.00 | |
| 3074F | 0% | 238 | $0.00 | |
| 1157F | 0% | 29 | $0.00 | |
| 1126F | 0% | 417 | $0.00 | |
| 2000F | 0% | 231 | $0.00 | |
| 1170F | 0% | 541 | $0.00 | |
| 1125F | 0% | 108 | $0.00 | |
| 3044F | 0% | 12 | $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.