Cruz Mena, Rafael

Cruz Mena, Rafael was paid $48K by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 91% of everything it billed.

33Billing provider infoCRUZ MENA, RAFAEL
RIO GRANDE, PR 00745

33aNPI1033149661assigned 07/03/2006

33bProvider typePsychiatry Physician

28Total paid$48K

24GClaims2,486

24DCodes billed3

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Psychiatry Physician providers in Puerto Rico

Rank by total paid#7 of 64

Median peer was paid$479.90

This provider vs. median100×

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	379	$14K
2019	671	$21K
2020	232	$9K
2021	187	$2K
2022	274	$386.64
2023	321	$960.44
2024incomplete	422	$73.88

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	91%	1,745	1,546	$44K
99334		6.1%	149	148	$3K
99347		2.5%	592	592	$1K

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.