Physician
Luis R. Nieves Gonzalez MD, PSC
Luis R. Nieves Gonzalez MD, PSC was paid $379.09 by Medicaid between Jan 2018 and Jun 2018, across 10 billing codes. Its largest line is 1158F, — 45% of everything it billed.
33Billing provider infoLUIS R. NIEVES GONZALEZ MD, PSC
ISABELA, PR 00662
ISABELA, PR 00662
33aNPI1760787071assigned 01/18/2011
33bProvider typeGeneral Practice Physician
28Total paid$379.09
24GClaims828
24DCodes billed10
24AFirst – last monthJan 2018 – Jun 2018
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#773 of 1,195
Median peer was paid$2K
This provider vs. median0.2×
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 | 828 | $379.09 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 1158F | 45% | 74 | 60 | $172.00 | |
| 1157F | 45% | 74 | 60 | $172.00 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.3% | 318 | 234 | $35.09 |
| 1160F | 0% | 74 | 60 | $0.00 | |
| 1159F | 0% | 60 | 48 | $0.00 | |
| 3017F | 0% | 28 | 20 | $0.00 | |
| 1170F | 0% | 71 | 57 | $0.00 | |
| 3008F | 0% | 72 | 58 | $0.00 | |
| 1126F | 0% | 32 | 26 | $0.00 | |
| 1125F | 0% | 25 | 19 | $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.
From NPPES
Who's on the registration
Authorized officialNIEVES GONZALEZ, LUIS (PRESIDENT)