Vazquez Roura, Francis

Vazquez Roura, Francis was paid $598K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 65% of everything it billed.

33Billing provider infoVAZQUEZ ROURA, FRANCIS
PONCE, PR 00717

33aNPI1194807461assigned 10/19/2006

33bProvider typeNephrology Physician

28Total paid$598K

24GClaims5,161

24DCodes billed9

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Nephrology Physician providers in Puerto Rico

Rank by total paid#4 of 81

Median peer was paid$66K

This provider vs. median9.1×

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	981	$85K
2019	953	$74K
2020	557	$71K
2021	695	$91K
2022	705	$102K
2023	801	$112K
2024incomplete	469	$64K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	65%	1,861	1,699	$389K
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	24%	2,266	2,081	$146K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	9.6%	910	326	$57K
90935	Hemodialysis procedure with single evaluation by a physician	<1%	47	13	$2K
99222	Initial hospital care, per day, moderate complexity	<1%	13	12	$1K
99254		<1%	26	24	$975.00
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	12	12	$913.60
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	12	12	$674.22
99243		<1%	14	14	$559.00

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.