Canales Ramos, Nicolle

Canales Ramos, Nicolle was paid $145K by Medicaid between Aug 2022 and Oct 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 62% of everything it billed.

33Billing provider infoCANALES RAMOS, NICOLLE
CAGUAS, PR 00725

33aNPI1740636026assigned 05/05/2016

33bProvider typeInternal Medicine Physician

28Total paid$145K

24GClaims1,501

24DCodes billed6

24AFirst – last monthAug 2022 – Oct 2024

Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#102 of 518

Median peer was paid$5K

This provider vs. median29×

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
2022	171	$11K
2023	579	$57K
2024incomplete	751	$77K

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	62%	815	628	$90K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	11%	279	105	$16K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	11%	111	111	$16K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	9.8%	171	73	$14K
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	4.2%	112	111	$6K
99223	Prolong inpt eval add15 m	1.4%	13	12	$2K

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.