Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Ramos, Luis

Ramos, Luis was paid $174K by Medicaid between Jan 2018 and Aug 2024, across 9 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 63% of everything it billed.

33Billing provider infoRAMOS, LUIS
CAGUAS, PR 00725
33aNPI1285676486assigned 06/12/2006
28Total paid$174K
24GClaims2,612
24DCodes billed9
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#85 of 518
Median peer was paid$5K
This provider vs. median35×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2018463$17K
2019201$13K
2020271$14K
2021535$33K
2022391$51K
2023642$43K
2024incomplete109$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 63% 1,108 549 $110K
99238 Hospital discharge day management, 30 minutes or less 15% 725 658 $26K
99222 Initial hospital care, per day, moderate complexity 11% 303 284 $20K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 6.6% 118 29 $12K
99243 2.9% 150 135 $5K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 149 136 $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 <1% 18 18 $367.00
3078F <1% 14 12 $5.00
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 0% 27 25 $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.