Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Oyola Nieves, Pedro

Oyola Nieves, Pedro was paid $17K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.

33Billing provider infoOYOLA NIEVES, PEDRO
BAYAMON, PR 00959
33aNPI1801861539assigned 02/17/2006
33bProvider typePsychiatry Physician
28Total paid$17K
24GClaims3,841
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Psychiatry Physician providers in Puerto Rico

Rank by total paid#12 of 64
Median peer was paid$479.90
This provider vs. median36×

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

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
2018317$673.60
2019300$483.31
2020571$3K
2021496$2K
2022634$5K
2023850$6K
2024incomplete673$405.26
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 57% 1,964 1,909 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 29% 883 844 $5K
99442 7.3% 280 274 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 6.6% 702 689 $1K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 0% 12 12 $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.