Carmona Vargas, Nestor

Carmona Vargas, Nestor was paid $75K by Medicaid between Jan 2018 and May 2024, across 1 billing code. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 100% of everything it billed.

33Billing provider infoCARMONA VARGAS, NESTOR
BAYAMON, PR 00959

33aNPI1740391960assigned 08/31/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$75K

24GClaims2,727

24DCodes billed1

24AFirst – last monthJan 2018 – May 2024

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Puerto Rico

Rank by total paid#78 of 185

Median peer was paid$53K

This provider vs. median1.4×

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	812	$15K
2019	654	$12K
2020	252	$3K
2021	501	$24K
2022	344	$15K
2023	148	$5K
2024incomplete	16	$624.90

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	100%	2,727	1,573	$75K

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.