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

Nefrologos Asociados Del Oeste

Nefrologos Asociados Del Oeste was paid $312K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 39% of everything it billed.

33Billing provider infoNEFROLOGOS ASOCIADOS DEL OESTE
MAYAGUEZ, PR 00680
33aNPI1861596496assigned 09/12/2006
33bProvider typeNephrology Physician
28Total paid$312K
24GClaims8,306
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Nephrology Physician providers in Puerto Rico

Rank by total paid#13 of 81
Median peer was paid$66K
This provider vs. median4.7×

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$10K$20K2018201920202021202220232024
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
20183,296$82K
2019488$30K
2020339$28K
2021330$5K
2022371$20K
2023655$40K
2024incomplete2,827$107K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 39% 879 735 $123K
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 38% 1,824 1,560 $118K
90961 19% 769 604 $59K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1.3% 31 17 $4K
99442 1.1% 107 98 $4K
90935 Hemodialysis procedure with single evaluation by a physician <1% 59 12 $2K
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% 26 26 $682.22
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 75 15 $600.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 19 12 $487.05
99222 Initial hospital care, per day, moderate complexity <1% 27 16 $390.00
3077F <1% 168 141 $0.01
3008F 0% 1,256 1,046 $0.00
8 more codes
3060F 0% 85 $0.00
4010F 0% 175 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 0% 81 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 70 $0.00
1159F 0% 991 $0.00
1160F 0% 1,263 $0.00
3078F 0% 357 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 44 $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.

From NPPES

Who's on the registration

Authorized officialWEBER, JORGE (MEDICAL DIRECTOR)