Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › DC › Washington › NPI 1285804708
Physician

Ruiz-Rios, Elena

Ruiz-Rios, Elena was paid $8K by Medicaid between Aug 2019 and Aug 2023, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.

33Billing provider infoRUIZ-RIOS, ELENA
WASHINGTON, DC 20009
33aNPI1285804708assigned 03/12/2008
33bProvider typePediatrics Physician
28Total paid$8K
24GClaims1,912
24DCodes billed25
24AFirst – last monthAug 2019 – Aug 2023
Compared with peers

Next to other Pediatrics Physician providers in District of Columbia

Rank by total paid#15 of 33
Median peer was paid$6K
This provider vs. median1.3×

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$1.0K$2.0K$3.0K2018201920202021202220232024
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
2019656$113.44
2020924$0.00
202265$2K
2023267$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 70% 116 101 $5K
96156 23% 16 16 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.8% 155 148 $518.68
90686 0% 129 128 $0.00
1220F 0% 34 32 $0.00
36415 Collection of venous blood by venipuncture 0% 272 259 $0.00
2001F 0% 34 28 $0.00
1036F 0% 31 25 $0.00
85018 0% 32 32 $0.00
97802 0% 15 12 $0.00
99441 0% 75 60 $0.00
83036 Hemoglobin; glycosylated (A1C) 0% 51 51 $0.00
13 more codes
2010F 0% 36 $0.00
3008F 0% 34 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 0% 255 $0.00
80061 Lipid panel 0% 68 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 0% 123 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 0% 298 $0.00
1160F 0% 19 $0.00
99442 0% 16 $0.00
85014 0% 32 $0.00
98960 0% 15 $0.00
84450 0% 24 $0.00
90461 0% 13 $0.00
1159F 0% 19 $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.