Lao, Rafael

Lao, Rafael was paid $36K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.

33Billing provider infoLAO, RAFAEL
VINCENNES, IN 47591

33aNPI1265477053assigned 06/17/2006

33bProvider typeNephrology Physician

28Total paid$36K

24GClaims2,238

24DCodes billed6

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Nephrology Physician providers in Indiana

Rank by total paid#29 of 44

Median peer was paid$96K

This provider vs. median0.4×

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	576	$8K
2019	635	$11K
2020	479	$7K
2021	237	$6K
2022	117	$1K
2023	146	$560.44
2024incomplete	48	$2K

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	38%	1,002	921	$14K
90961		33%	690	645	$12K
90962		22%	221	211	$8K
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	5.8%	255	251	$2K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	46	24	$320.72
90935	Hemodialysis procedure with single evaluation by a physician	0%	24	13	$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.