Physician
Medina-Prieto, Rafael
Medina-Prieto, Rafael was paid $58K by Medicaid between Feb 2024 and Dec 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoMEDINA-PRIETO, RAFAEL
CAYEY, PR 00736
CAYEY, PR 00736
33aNPI1235660762assigned 03/26/2017
33bProvider typeGastroenterology Physician
28Total paid$58K
24GClaims588
24DCodes billed3
24AFirst – last monthFeb 2024 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in Puerto Rico
Rank by total paid#52 of 107
Median peer was paid$47K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2024incomplete | 588 | $58K |
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 | 48% | 313 | 131 | $28K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 32% | 186 | 104 | $18K |
| 99070 | 20% | 89 | 45 | $12K |
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.