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

Elite Nephrology Care Center PSC

Elite Nephrology Care Center PSC was paid $121K by Medicaid between Jun 2021 and Nov 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 90% of everything it billed.

33Billing provider infoELITE NEPHROLOGY CARE CENTER PSC
MAYAGUEZ, PR 00680
33aNPI1962978262assigned 10/15/2018
33bProvider typeNephrology Physician
28Total paid$121K
24GClaims1,772
24DCodes billed7
24AFirst – last monthJun 2021 – Nov 2024
Compared with peers

Next to other Nephrology Physician providers in Puerto Rico

Rank by total paid#30 of 81
Median peer was paid$66K
This provider vs. median1.8×

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

$0$5.0K$10K2018201920202021202220232024
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
202182$1K
2022353$19K
2023444$32K
2024incomplete893$69K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 90% 1,542 1,164 $108K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7.3% 98 61 $9K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 3.2% 76 51 $4K
3066F 0% 14 14 $0.00
3008F 0% 14 14 $0.00
1159F 0% 14 14 $0.00
1160F 0% 14 14 $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 officialPAGAN TORRES, PEDRO (PRESIDENT)