Physician
Medina, Nelson
Medina, Nelson was paid $2.69M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 45385, Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) — 28% of everything it billed.
33Billing provider infoMEDINA, NELSON
COTO LAUREL, PR 00780
COTO LAUREL, PR 00780
33aNPI1770543514assigned 03/24/2006
33bProvider typeGastroenterology Physician
28Total paid$2.69M
24GClaims19,694
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in Puerto Rico
Rank by total paid#2 of 107
Median peer was paid$47K
This provider vs. median58×
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 | 3,182 | $305K | |
| 2019 | 4,696 | $516K | |
| 2020 | 2,356 | $299K | |
| 2021 | 2,279 | $351K | |
| 2022 | 2,373 | $380K | |
| 2023 | 3,106 | $527K | |
| 2024incomplete | 1,702 | $316K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 28% | 1,731 | 1,681 | $766K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 27% | 2,688 | 2,579 | $720K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 22% | 2,354 | 2,257 | $586K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.6% | 5,122 | 4,790 | $205K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.1% | 3,379 | 3,150 | $165K |
| 99223 | Prolong inpt eval add15 m | 5.3% | 1,216 | 1,069 | $141K |
| 99441 | 3.7% | 3,103 | 2,882 | $100K | |
| 43251 | <1% | 36 | 33 | $5K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 65 | 12 | $5K |
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.