Ramirez Mercado, Jan

Ramirez Mercado, Jan was paid $341K by Medicaid between Jul 2022 and Nov 2024, across 12 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 37% of everything it billed.

33Billing provider infoRAMIREZ MERCADO, JAN
SAN GERMAN, PR 00683

33aNPI1134778947assigned 09/05/2019

33bProvider typeGeneral Practice Physician

28Total paid$341K

24GClaims4,696

24DCodes billed12

24AFirst – last monthJul 2022 – Nov 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#70 of 1,195

Median peer was paid$2K

This provider vs. median167×

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
2022	774	$49K
2023	1,972	$139K
2024incomplete	1,950	$153K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	37%	894	667	$125K
99235		21%	599	551	$71K
99234		18%	706	609	$63K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	15%	908	736	$50K
93268		2.7%	77	72	$9K
96360	Intravenous infusion, hydration; initial, 31 minutes to 1 hour	2.3%	542	431	$8K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	1.3%	578	475	$4K
76140		<1%	248	214	$3K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	44	29	$3K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	<1%	46	38	$3K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	<1%	18	18	$2K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	36	26	$186.54

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.