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
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
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 | 317 | $673.60 | |
| 2019 | 300 | $483.31 | |
| 2020 | 571 | $3K | |
| 2021 | 496 | $2K | |
| 2022 | 634 | $5K | |
| 2023 | 850 | $6K | |
| 2024incomplete | 673 | $405.26 |
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 | 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.