Martinez, Rafael

Martinez, Rafael was paid $153K by Medicaid between May 2018 and Jun 2024, across 3 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 51% of everything it billed.

33Billing provider infoMARTINEZ, RAFAEL
CAGUAS, PR 00727

33aNPI1285782524assigned 01/05/2007

33bProvider typeInternal Medicine Physician

28Total paid$153K

24GClaims3,410

24DCodes billed3

24AFirst – last monthMay 2018 – Jun 2024

Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#97 of 518

Median peer was paid$5K

This provider vs. median31×

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	451	$8K
2019	465	$15K
2020	465	$16K
2021	708	$32K
2022	477	$20K
2023	436	$32K
2024incomplete	408	$29K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	51%	1,959	286	$78K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	43%	1,298	217	$66K
99238	Hospital discharge day management, 30 minutes or less	5.5%	153	138	$8K

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.