Flores, Nestor

Flores, Nestor was paid $12K by Medicaid between Jan 2018 and Jan 2023, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 83% of everything it billed.

33Billing provider infoFLORES, NESTOR
GUAYAMA, PR 00784

33aNPI1801015060assigned 04/25/2007

33bProvider typePulmonary Disease Physician

28Total paid$12K

24GClaims423

24DCodes billed5

24AFirst – last monthJan 2018 – Jan 2023

Compared with peers

Next to other Pulmonary Disease Physician providers in Puerto Rico

Rank by total paid#42 of 55

Median peer was paid$68K

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	374	$11K
2019	27	$0.00
2023	22	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	83%	359	335	$10K
99253		8.7%	22	12	$1K
94060		3.1%	14	14	$385.20
94729		2.8%	14	14	$340.02
94726		2.3%	14	14	$282.42

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.