Baez, Nestor

Baez, Nestor was paid $15K by Medicaid between Feb 2018 and Jan 2022, across 5 billing codes. Its largest line is 99235, — 43% of everything it billed.

33Billing provider infoBAEZ, NESTOR
TOA BAJA, PR 00949

33aNPI1669927299assigned 08/24/2016

33bProvider typeGeneral Practice Physician

28Total paid$15K

24GClaims664

24DCodes billed5

24AFirst – last monthFeb 2018 – Jan 2022

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#373 of 1,195

Median peer was paid$2K

This provider vs. median7.2×

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	293	$2K
2019	196	$2K
2020	73	$2K
2021	84	$7K
2022	18	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99235		43%	53	52	$6K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	25%	537	472	$4K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	17%	48	47	$3K
99234		8.4%	14	14	$1K
99219		5.7%	12	12	$840.00

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.