Physician
Baez, Nestor
Baez, Nestor was paid $14K by Medicaid between Jan 2018 and Mar 2020, across 3 billing codes. Its largest line is 99285, emergency room visit (most serious) — 55% of everything it billed.
33Billing provider infoBAEZ, NESTOR
SAN JUAN, PR 00926
SAN JUAN, PR 00926
33aNPI1760433270assigned 05/12/2006
33bProvider typeFamily Medicine Physician
28Total paid$14K
24GClaims1,323
24DCodes billed3
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Family Medicine Physician providers in Puerto Rico
Rank by total paid#44 of 160
Median peer was paid$1K
This provider vs. median12×
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 | 577 | $6K | |
| 2019 | 621 | $7K | |
| 2020 | 125 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 55% | 1,200 | 1,181 | $8K |
| 99219 | 41% | 102 | 81 | $6K | |
| 99218 | 4.7% | 21 | 16 | $656.00 |
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.