Physician
Nieves-Roman, Edward
Nieves-Roman, Edward was paid $10K by Medicaid between May 2020 and Sep 2024, across 2 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 100% of everything it billed.
33Billing provider infoNIEVES-ROMAN, EDWARD
RIO GRANDE, PR 00745
RIO GRANDE, PR 00745
33aNPI1669580635assigned 08/29/2006
33bProvider typeInternal Medicine Physician
28Total paid$10K
24GClaims3,572
24DCodes billed2
24AFirst – last monthMay 2020 – Sep 2024
Compared with peers
Next to other Internal Medicine Physician providers in Puerto Rico
Rank by total paid#237 of 518
Median peer was paid$5K
This provider vs. median2.0×
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 | 239 | $810.00 | |
| 2021 | 788 | $3K | |
| 2022 | 1,172 | $4K | |
| 2023 | 853 | $2K | |
| 2024incomplete | 520 | $163.66 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 100% | 3,545 | 2,951 | $10K |
| S0250 | Comprehensive geriatric assessment and treatment planning performed by assessment team | 0% | 27 | 26 | $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.