Solis-Mounier, Rafael

Solis-Mounier, Rafael was paid $319K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.

33Billing provider infoSOLIS-MOUNIER, RAFAEL
BAYAMON, PR 00959

33aNPI1144262270assigned 06/12/2006

33bProvider typeGastroenterology Physician

28Total paid$319K

24GClaims4,289

24DCodes billed7

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Gastroenterology Physician providers in Puerto Rico

Rank by total paid#37 of 107

Median peer was paid$47K

This provider vs. median6.8×

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	689	$16K
2020	415	$32K
2021	133	$8K
2022	15	$1K
2023	910	$86K
2024incomplete	2,127	$175K

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	38%	1,852	1,295	$120K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	20%	987	706	$65K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	19%	151	99	$60K
45380	Colonoscopy, flexible; with biopsy, single or multiple	12%	110	90	$38K
99070		10%	1,065	670	$33K
99222	Initial hospital care, per day, moderate complexity	<1%	27	27	$2K
G0500	Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate)	<1%	97	57	$232.85

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.