Physician
Negron, Eduardo
Negron, Eduardo was paid $3K by Medicaid between Jan 2018 and Sep 2024, across 22 billing codes. Its largest line is 96160, — 92% of everything it billed.
33Billing provider infoNEGRON, EDUARDO
AGUADA, PR 00602
AGUADA, PR 00602
33aNPI1992985345assigned 11/13/2007
33bProvider typeGeneral Practice Physician
28Total paid$3K
24GClaims5,522
24DCodes billed22
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#578 of 1,195
Median peer was paid$2K
This provider vs. median1.2×
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 | 1,984 | $172.66 | |
| 2019 | 420 | $0.00 | |
| 2020 | 282 | $0.00 | |
| 2021 | 523 | $0.00 | |
| 2022 | 645 | $0.00 | |
| 2023 | 696 | $0.00 | |
| 2024incomplete | 972 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96160 | 92% | 192 | 130 | $2K | |
| 3078F | 2.4% | 135 | 119 | $60.02 | |
| 3074F | 2.0% | 135 | 118 | $50.03 | |
| 3044F | 1.2% | 24 | 24 | $30.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 3,426 | 2,467 | $23.69 |
| 3048F | <1% | 25 | 25 | $20.02 | |
| 1158F | <1% | 80 | 66 | $12.59 | |
| 1170F | 0% | 80 | 66 | $0.00 | |
| 4010F | 0% | 73 | 60 | $0.00 | |
| 3017F | 0% | 14 | 13 | $0.00 | |
| 1126F | 0% | 74 | 61 | $0.00 | |
| 3008F | 0% | 80 | 66 | $0.00 |
10 more codes
| 3072F | 0% | 61 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 169 | $0.00 |
| 99386 | 0% | 14 | $0.00 | |
| 4035F | 0% | 79 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 129 | $0.00 |
| 99397 | 0% | 391 | $0.00 | |
| 1160F | 0% | 83 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 118 | $0.00 |
| 2028F | 0% | 63 | $0.00 | |
| 1159F | 0% | 77 | $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.