Medina, Rafael

Medina, Rafael was paid $445.88 by Medicaid between May 2018 and Jul 2024, across 4 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 65% of everything it billed.

33Billing provider infoMEDINA, RAFAEL
COOPERSTOWN, NY 13326

33aNPI1265416598assigned 11/30/2005

33bProvider typeOphthalmology Physician

28Total paid$445.88

24GClaims65

24DCodes billed4

24AFirst – last monthMay 2018 – Jul 2024

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#1,016 of 1,085

Median peer was paid$34K

This provider vs. median0.0×

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	38	$0.00
2024incomplete	27	$445.88

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	65%	15	14	$291.80
92083		35%	12	12	$154.08
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	26	25	$0.00
G8421	Bmi not documented and no reason is given	0%	12	12	$0.00

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.