Thomas Namnoum, Lesa

Thomas Namnoum, Lesa was paid $234K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 90961, — 45% of everything it billed.

33Billing provider infoTHOMAS NAMNOUM, LESA
MAYAGUEZ, PR 00680

33aNPI1780731257assigned 01/05/2007

33bProvider typeNephrology Physician

28Total paid$234K

24GClaims3,274

24DCodes billed6

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Nephrology Physician providers in Puerto Rico

Rank by total paid#18 of 81

Median peer was paid$66K

This provider vs. median3.5×

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	809	$46K
2019	748	$47K
2020	408	$25K
2021	515	$35K
2022	341	$29K
2023	130	$10K
2024incomplete	323	$42K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90961		45%	736	670	$106K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	35%	2,049	922	$82K
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	14%	130	92	$32K
99254		3.9%	239	227	$9K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.6%	105	104	$4K
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	<1%	15	12	$319.32

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.