Physician
Rapha Family Medicine, P.C.
Rapha Family Medicine, P.C. was paid $502K by Medicaid between Jan 2018 and Oct 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
33Billing provider infoRAPHA FAMILY MEDICINE, P.C.
AMHERST, NY 14226
AMHERST, NY 14226
33aNPI1316153067assigned 05/16/2007
33bProvider typeFamily Medicine Physician
28Total paid$502K
24GClaims12,020
24DCodes billed25
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#223 of 2,605
Median peer was paid$10K
This provider vs. median50×
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 | 2,138 | $145K | |
| 2019 | 1,093 | $78K | |
| 2020 | 649 | $35K | |
| 2021 | 2,110 | $70K | |
| 2022 | 2,755 | $84K | |
| 2023 | 2,683 | $62K | |
| 2024incomplete | 592 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 59% | 3,807 | 3,437 | $295K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 3,422 | 2,546 | $178K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.1% | 121 | 121 | $11K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.2% | 72 | 71 | $6K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 32 | 31 | $3K |
| 99442 | <1% | 124 | 109 | $3K | |
| 99497 | <1% | 30 | 30 | $2K | |
| 99406 | <1% | 166 | 149 | $2K | |
| 96127 | <1% | 359 | 336 | $1K | |
| 99443 | <1% | 45 | 40 | $1K | |
| 80306 | <1% | 32 | 22 | $507.52 | |
| 3074F | <1% | 173 | 160 | $60.00 |
13 more codes
| 3044F | <1% | 27 | $20.00 | |
| 3078F | <1% | 78 | $20.00 | |
| 3079F | 0% | 12 | $0.00 | |
| 3008F | 0% | 796 | $0.00 | |
| 1125F | 0% | 174 | $0.00 | |
| 1000F | 0% | 111 | $0.00 | |
| 1036F | 0% | 1,088 | $0.00 | |
| 1126F | 0% | 13 | $0.00 | |
| 1034F | 0% | 30 | $0.00 | |
| 1170F | 0% | 17 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 742 | $0.00 |
| 1159F | 0% | 535 | $0.00 | |
| 3077F | 0% | 14 | $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 officialILOZUE, FRANCES (MEDICAL DIRECTOR)