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

Nieves-Nieves, Pulmonary, MD, LLC

Nieves-Nieves, Pulmonary, MD, LLC was paid $2K by Medicaid between Oct 2018 and Oct 2019, across 4 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 44% of everything it billed.

33Billing provider infoNIEVES-NIEVES, PULMONARY, MD, LLC
PEMBROKE PINES, FL 33026
33aNPI1891298832assigned 03/15/2018
28Total paid$2K
24GClaims356
24DCodes billed4
24AFirst – last monthOct 2018 – Oct 2019
Compared with peers

Next to other Medical Specialty Clinic/Center providers in Florida

Rank by total paid#35 of 50
Median peer was paid$7K
This provider vs. median0.3×

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$1.0K$2.0K2018201920202021202220232024
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
2018190$2K
2019166$182.56
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 44% 251 53 $793.60
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 40% 67 19 $718.85
99223 Prolong inpt eval add15 m 14% 21 15 $253.88
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 1.2% 17 13 $21.62

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 officialNIEVES, JOSE (MD)
Same official

Other billing entities under NIEVES, JOSE

Full network →
ProviderLocationPaid
Nieves Chiropractic LLCAnasco, PR$26K
GRP Med Policlinica Familiar FactorArecibo, PR$4K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.