Roman-Ruperto, Ednise

Roman-Ruperto, Ednise was paid $4K by Medicaid between Aug 2018 and Mar 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.

33Billing provider infoROMAN-RUPERTO, EDNISE
JUNCOS, PR 00777

33aNPI1184853756assigned 07/05/2009

33bProvider typeObstetrics & Gynecology Physician

28Total paid$4K

24GClaims77

24DCodes billed2

24AFirst – last monthAug 2018 – Mar 2024

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Puerto Rico

Rank by total paid#146 of 185

Median peer was paid$53K

This provider vs. median0.1×

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	28	$343.16
2023	12	$738.80
2024incomplete	37	$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	69%	65	63	$3K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	31%	12	12	$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.