Alfredo Ramirez Justiniano Nefrologo CSP

Alfredo Ramirez Justiniano Nefrologo CSP was paid $349K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 73% of everything it billed.

33Billing provider infoALFREDO RAMIREZ JUSTINIANO NEFROLOGO CSP
MAYAGUEZ, PR 00680

33aNPI1306965470assigned 03/28/2007

33bProvider typeNephrology Physician

28Total paid$349K

24GClaims3,193

24DCodes billed10

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Nephrology Physician providers in Puerto Rico

Rank by total paid#11 of 81

Median peer was paid$66K

This provider vs. median5.3×

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

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	972	$75K
2019	483	$29K
2020	351	$41K
2021	365	$42K
2022	563	$69K
2023	392	$76K
2024incomplete	67	$17K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	73%	1,450	1,301	$256K
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	8.0%	588	542	$28K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	7.7%	441	301	$27K
90961		5.4%	150	125	$19K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.1%	373	364	$14K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	1.1%	112	74	$4K
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	<1%	27	27	$1K
99222	Initial hospital care, per day, moderate complexity	<1%	13	13	$498.42
3078F		0%	21	18	$0.00
3074F		0%	18	16	$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 officialRAMIREZ, ALFREDO (PRESIDENTE)

Same official

Other billing entities under RAMIREZ, ALFREDO

Full network →

Provider	Location	Paid
Las Colinas Medical Group, INC.	San Jose, CA	$1K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.