Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Aldiva, Nelson

Aldiva, Nelson was paid $1K by Medicaid between Jan 2018 and Jun 2018, across 12 billing codes. Its largest line is 3078F, — 44% of everything it billed.

33Billing provider infoALDIVA, NELSON
CAMUY, PR 00627
33aNPI1700839297assigned 05/18/2006
28Total paid$1K
24GClaims1,248
24DCodes billed12
24AFirst – last monthJan 2018 – Jun 2018
Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#680 of 1,195
Median peer was paid$2K
This provider vs. median0.5×

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

$0$200$400$6002018201920202021202220232024
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
YearClaimsPaid
20181,248$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
3078F 44% 261 179 $460.00
3074F 43% 263 180 $450.00
1158F 7.3% 58 38 $75.92
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.7% 332 231 $59.74
1159F 0% 59 39 $0.00
4035F 0% 54 36 $0.00
0521F 0% 17 13 $0.00
1160F 0% 58 38 $0.00
3017F 0% 13 12 $0.00
3008F 0% 58 38 $0.00
1170F 0% 58 38 $0.00
1125F 0% 17 13 $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.