Physician
Raul Arroyo Rosario MD C S P
Raul Arroyo Rosario MD C S P was paid $250K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.
33Billing provider infoRAUL ARROYO ROSARIO MD C S P
ARECIBO, PR 00612
ARECIBO, PR 00612
33aNPI1295083665assigned 08/16/2012
33bProvider typeUrology Physician
28Total paid$250K
24GClaims5,526
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Urology Physician providers in Puerto Rico
Rank by total paid#15 of 62
Median peer was paid$25K
This provider vs. median10×
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 | 1,067 | $28K | |
| 2019 | 654 | $15K | |
| 2020 | 534 | $17K | |
| 2021 | 984 | $61K | |
| 2022 | 842 | $43K | |
| 2023 | 799 | $43K | |
| 2024incomplete | 646 | $43K |
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 | 73% | 4,585 | 4,126 | $182K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 9.7% | 408 | 402 | $24K |
| 99223 | Prolong inpt eval add15 m | 7.2% | 138 | 131 | $18K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 4.3% | 107 | 101 | $11K |
| 52000 | 2.5% | 50 | 50 | $6K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.5% | 43 | 30 | $4K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 35 | 24 | $2K |
| 99253 | <1% | 57 | 54 | $2K | |
| 74420 | <1% | 46 | 42 | $984.65 | |
| 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% | 13 | 13 | $317.00 |
| 99024 | 0% | 44 | 39 | $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.
From NPPES
Who's on the registration
Authorized officialARROYO, RAUL (UROLOGIST)