Tirado Siragusa, Rafael

Tirado Siragusa, Rafael was paid $29K by Medicaid between Nov 2022 and Jun 2024, across 3 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 90% of everything it billed.

33Billing provider infoTIRADO SIRAGUSA, RAFAEL
MANATI, PR 00674

33aNPI1356564264assigned 04/10/2007

33bProvider typeInternal Medicine Physician

28Total paid$29K

24GClaims244

24DCodes billed3

24AFirst – last monthNov 2022 – Jun 2024

Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#196 of 518

Median peer was paid$5K

This provider vs. median5.8×

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
2022	91	$11K
2023	48	$7K
2024incomplete	105	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	90%	190	42	$26K
99239	Hospital discharge day management, more than 30 minutes	7.3%	27	26	$2K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	2.5%	27	24	$714.00

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.