Raffalli, Peter

Raffalli, Peter was paid $12K by Medicaid between Jun 2018 and Jan 2023, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.

33Billing provider infoRAFFALLI, PETER
BOSTON, MA 02115

33aNPI1194744870assigned 07/19/2006

33bProvider typeNeurology with Special Qualifications in Child Neurology Physician

28Total paid$12K

24GClaims108

24DCodes billed3

24AFirst – last monthJun 2018 – Jan 2023

Compared with peers

Next to other Neurology with Special Qualifications in Child Neurology Physician providers in Massachusetts

Rank by total paid#12 of 20

Median peer was paid$13K

This provider vs. median0.9×

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	$3K
2020	29	$2K
2021	13	$2K
2022	24	$3K
2023	14	$945.60

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	60%	53	53	$7K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	26%	43	43	$3K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	14%	12	12	$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.