Rafael Gonzalez DPM LLC
Rafael Gonzalez DPM LLC was paid $149K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoRAFAEL GONZALEZ DPM LLC
BLOOMFIELD, CT 06002
BLOOMFIELD, CT 06002
33aNPI1326282518assigned 05/01/2009
33bProvider typeFoot Surgery Podiatrist
28Total paid$149K
24GClaims13,630
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Foot Surgery Podiatrist providers in Connecticut
Rank by total paid#4 of 17
Median peer was paid$2K
This provider vs. median60×
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 | 1,873 | $26K | |
| 2019 | 2,056 | $24K | |
| 2020 | 1,521 | $20K | |
| 2021 | 1,711 | $19K | |
| 2022 | 1,305 | $17K | |
| 2023 | 1,913 | $21K | |
| 2024incomplete | 3,251 | $22K |
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 | 52% | 4,350 | 3,492 | $78K |
| 11721 | 18% | 5,860 | 4,852 | $27K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 15% | 1,259 | 1,025 | $22K |
| 11056 | 4.4% | 996 | 805 | $7K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.1% | 238 | 169 | $6K |
| 73630 | 2.4% | 289 | 232 | $4K | |
| A5512 | For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each | 1.7% | 201 | 83 | $2K |
| A5500 | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe | 1.5% | 199 | 83 | $2K |
| 11055 | <1% | 194 | 166 | $1K | |
| 73620 | <1% | 16 | 13 | $189.48 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 28 | 28 | $165.82 |
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 officialGONZALEZ, RAFAEL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Pensot Investments, LLC | Pharr, TX | $1.66M |
| Doctors at Home Tri County | Orlando, FL | $566K |
| Glez and Glez S-Corp | Opa Locka, FL | $44K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.