Physician
Negron, Raul
Negron, Raul was paid $464K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99219, — 31% of everything it billed.
33Billing provider infoNEGRON, RAUL
COTO LAUREL, PR 00780
COTO LAUREL, PR 00780
33aNPI1144334152assigned 08/18/2006
33bProvider typeGeneral Practice Physician
28Total paid$464K
24GClaims7,562
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#47 of 1,195
Median peer was paid$2K
This provider vs. median227×
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 | 1,576 | $70K | |
| 2019 | 1,251 | $67K | |
| 2020 | 812 | $60K | |
| 2021 | 742 | $31K | |
| 2022 | 929 | $59K | |
| 2023 | 1,044 | $85K | |
| 2024incomplete | 1,208 | $94K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99219 | 31% | 2,263 | 2,048 | $146K | |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 17% | 844 | 734 | $80K |
| 99220 | 16% | 565 | 524 | $74K | |
| 99234 | 9.8% | 521 | 445 | $45K | |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 8.9% | 771 | 533 | $41K |
| 99235 | 8.4% | 350 | 282 | $39K | |
| 99223 | Prolong inpt eval add15 m | 4.1% | 130 | 94 | $19K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 3.6% | 2,076 | 1,894 | $17K |
| 99218 | <1% | 27 | 22 | $2K | |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | <1% | 15 | 15 | $2K |
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.