Castresana, Josue

Castresana, Josue was paid $53K by Medicaid between Jan 2018 and Nov 2021, across 6 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 — 88% of everything it billed.

33Billing provider infoCASTRESANA, JOSUE
CAYEY, PR 00737

33aNPI1972550259assigned 05/30/2006

33bProvider typeNephrology Physician

28Total paid$53K

24GClaims658

24DCodes billed6

24AFirst – last monthJan 2018 – Nov 2021

Compared with peers

Next to other Nephrology Physician providers in Puerto Rico

Rank by total paid#42 of 81

Median peer was paid$66K

This provider vs. median0.8×

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	371	$16K
2020	156	$19K
2021	131	$17K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	88%	346	318	$47K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	3.9%	44	15	$2K
90935	Hemodialysis procedure with single evaluation by a physician	3.0%	29	13	$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	2.7%	47	46	$1K
99222	Initial hospital care, per day, moderate complexity	2.0%	12	12	$1K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	180	166	$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.