Physician
Tirado-Montijo, Rafael
Tirado-Montijo, Rafael was paid $1.23M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 45385, Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) — 23% of everything it billed.
33Billing provider infoTIRADO-MONTIJO, RAFAEL
MANATI, PR 00674
MANATI, PR 00674
33aNPI1285947127assigned 07/21/2010
33bProvider typeInternal Medicine Physician
28Total paid$1.23M
24GClaims9,736
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Puerto Rico
Rank by total paid#11 of 518
Median peer was paid$5K
This provider vs. median246×
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 | 109 | $4K | |
| 2020 | 342 | $19K | |
| 2021 | 779 | $68K | |
| 2022 | 1,035 | $82K | |
| 2023 | 3,157 | $375K | |
| 2024incomplete | 4,314 | $680K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 23% | 472 | 299 | $278K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 4,010 | 2,803 | $265K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 18% | 568 | 378 | $224K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 13% | 1,933 | 1,361 | $164K |
| 99070 | 13% | 2,074 | 1,313 | $161K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 11% | 468 | 305 | $135K |
| 99223 | Prolong inpt eval add15 m | <1% | 22 | 14 | $2K |
| 99442 | <1% | 47 | 28 | $558.64 | |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | 0% | 142 | 64 | $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.