Mirabal, Ernesto

Mirabal, Ernesto was paid $39K by Medicaid between Mar 2018 and Nov 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 93% of everything it billed.

33Billing provider infoMIRABAL, ERNESTO
CENTRAL FALLS, RI 02863

33aNPI1215953377assigned 07/14/2006

33bProvider typeInternal Medicine Physician

28Total paid$39K

24GClaims613

24DCodes billed3

24AFirst – last monthMar 2018 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in Rhode Island

Rank by total paid#138 of 386

Median peer was paid$15K

This provider vs. median2.5×

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	130	$7K
2020	58	$4K
2021	48	$3K
2022	134	$7K
2023	150	$11K
2024incomplete	93	$6K

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	93%	555	499	$36K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.4%	43	39	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.0%	15	13	$781.04

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.