Nevarez-Sostre, Edgar

Nevarez-Sostre, Edgar was paid $51K by Medicaid between Mar 2019 and Jun 2024, across 7 billing codes. Its largest line is 99283, emergency room visit (moderate) — 64% of everything it billed.

33Billing provider infoNEVAREZ-SOSTRE, EDGAR
VEGA BAJA, PR 00693

33aNPI1710937891assigned 05/11/2006

33bProvider typeInternal Medicine Physician

28Total paid$51K

24GClaims1,573

24DCodes billed7

24AFirst – last monthMar 2019 – Jun 2024

Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#164 of 518

Median peer was paid$5K

This provider vs. median10×

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
2019	288	$5K
2020	325	$8K
2021	284	$11K
2022	202	$9K
2023	349	$10K
2024incomplete	125	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	64%	1,006	947	$32K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	20%	196	33	$10K
99238	Hospital discharge day management, 30 minutes or less	6.9%	97	64	$3K
99252		4.2%	79	65	$2K
99218		2.2%	115	114	$1K
99223	Prolong inpt eval add15 m	1.5%	39	21	$779.62
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	41	27	$304.98

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.