Roman Nieves, Leyda

Roman Nieves, Leyda was paid $17K by Medicaid between Oct 2021 and Oct 2024, across 5 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 67% of everything it billed.

33Billing provider infoROMAN NIEVES, LEYDA
HUMACAO, PR 00791

33aNPI1881850428assigned 08/04/2008

33bProvider typePediatrics Physician

28Total paid$17K

24GClaims595

24DCodes billed5

24AFirst – last monthOct 2021 – Oct 2024

Compared with peers

Next to other Pediatrics Physician providers in Puerto Rico

Rank by total paid#75 of 194

Median peer was paid$7K

This provider vs. median2.5×

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
2021	98	$5K
2022	100	$1K
2023	142	$1K
2024incomplete	255	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	67%	303	51	$11K
99222	Initial hospital care, per day, moderate complexity	23%	84	52	$4K
99245		6.0%	123	120	$1K
99234		2.4%	19	17	$399.76
99217		1.5%	66	58	$259.50

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.