Physician
Enukashvili, Rafael
Enukashvili, Rafael was paid $31K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoENUKASHVILI, RAFAEL
MORGANVILLE, NJ 07751
MORGANVILLE, NJ 07751
33aNPI1073554838assigned 06/10/2006
33bProvider typeInternal Medicine Physician
28Total paid$31K
24GClaims1,268
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New Jersey
Rank by total paid#509 of 1,027
Median peer was paid$30K
This provider vs. median1.0×
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 | 26 | $2K | |
| 2019 | 160 | $9K | |
| 2020 | 233 | $4K | |
| 2021 | 295 | $5K | |
| 2022 | 194 | $3K | |
| 2023 | 263 | $5K | |
| 2024incomplete | 97 | $3K |
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 | 55% | 794 | 724 | $17K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 42% | 234 | 212 | $13K |
| 90688 | 1.7% | 58 | 56 | $519.69 | |
| G0008 | Administration of influenza virus vaccine | <1% | 57 | 55 | $276.11 |
| 36415 | Collection of venous blood by venipuncture | <1% | 55 | 54 | $69.60 |
| G8482 | Influenza immunization administered or previously received | 0% | 58 | 56 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 12 | 12 | $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.