Ramirez-Soto, Miguel
Ramirez-Soto, Miguel was paid $3K by Medicaid between Feb 2018 and Jun 2019, across 3 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 67% of everything it billed.
33Billing provider infoRAMIREZ-SOTO, MIGUEL
JUNCOS, PR 00777
JUNCOS, PR 00777
33aNPI1316946536assigned 07/19/2005
33bProvider typeSpecialist
28Total paid$3K
24GClaims248
24DCodes billed3
24AFirst – last monthFeb 2018 – Jun 2019
Compared with peers
Next to other Specialist providers in Puerto Rico
Rank by total paid#219 of 316
Median peer was paid$26K
This provider vs. median0.1×
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 | 165 | $3K | |
| 2019 | 83 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 67% | 166 | 162 | $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 | 33% | 29 | 29 | $836.36 |
| 1125F | 0% | 53 | 52 | $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.