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

Ramos, Shirley

Ramos, Shirley was paid $8K by Medicaid between Feb 2018 and Feb 2021, across 4 billing codes. Its largest line is 99251, — 84% of everything it billed.

33Billing provider infoRAMOS, SHIRLEY
LARES, PR 00669
33aNPI1013204981assigned 06/29/2011
28Total paid$8K
24GClaims265
24DCodes billed4
24AFirst – last monthFeb 2018 – Feb 2021
Compared with peers

Next to other Family Medicine Physician providers in Puerto Rico

Rank by total paid#51 of 160
Median peer was paid$1K
This provider vs. median7.4×

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$500$1.0K$1.5K2018201920202021202220232024
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
2018179$6K
201943$1K
202026$875.00
202117$525.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99251 84% 207 206 $7K
99243 9.5% 16 16 $800.00
99231 Subsequent hospital care, per day, straightforward or low complexity 4.5% 28 12 $375.00
99281 Emergency department visit for the evaluation and management, self-limited or minor 1.6% 14 14 $135.12

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.