Physician
Candelario Pieve, Alberto
Candelario Pieve, Alberto was paid $49K by Medicaid between Jan 2018 and Jul 2019, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 89% of everything it billed.
33Billing provider infoCANDELARIO PIEVE, ALBERTO
GUAYAMA, PR 00784
GUAYAMA, PR 00784
33aNPI1962484618assigned 11/17/2005
33bProvider typeInternal Medicine Physician
28Total paid$49K
24GClaims3,254
24DCodes billed20
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers
Next to other Internal Medicine Physician providers in Puerto Rico
Rank by total paid#167 of 518
Median peer was paid$5K
This provider vs. median9.8×
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 | 2,677 | $49K | |
| 2019 | 577 | $0.00 |
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 | 89% | 1,968 | 1,046 | $43K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.7% | 102 | 80 | $2K |
| 20553 | 2.1% | 39 | 28 | $1K | |
| 93000 | 1.9% | 124 | 114 | $907.31 | |
| 94667 | 1.8% | 60 | 42 | $882.49 | |
| 3048F | <1% | 66 | 54 | $333.20 | |
| 1157F | <1% | 91 | 86 | $86.24 | |
| 1158F | <1% | 92 | 77 | $31.36 | |
| 1159F | 0% | 186 | 155 | $0.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 49 | 36 | $0.00 |
| 96160 | 0% | 85 | 47 | $0.00 | |
| 1160F | 0% | 70 | 46 | $0.00 |
8 more codes
| 3078F | 0% | 29 | $0.00 | |
| 3072F | 0% | 18 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 85 | $0.00 |
| 3017F | 0% | 77 | $0.00 | |
| 3008F | 0% | 49 | $0.00 | |
| 3061F | 0% | 16 | $0.00 | |
| S0257 | Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) | 0% | 24 | $0.00 |
| 1170F | 0% | 24 | $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.