Liporaci Lucena, Rafael

Liporaci Lucena, Rafael was paid $93K by Medicaid between Jan 2018 and Feb 2022, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.

33Billing provider infoLIPORACI LUCENA, RAFAEL
PAWTUCKET, RI 02860

33aNPI1366715633assigned 02/17/2012

33bProvider typeInternal Medicine Physician

28Total paid$93K

24GClaims1,670

24DCodes billed8

24AFirst – last monthJan 2018 – Feb 2022

Compared with peers

Next to other Internal Medicine Physician providers in Rhode Island

Rank by total paid#84 of 386

Median peer was paid$15K

This provider vs. median6.1×

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	664	$35K
2019	14	$682.36
2020	375	$20K
2021	543	$33K
2022	74	$4K

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	47%	627	603	$44K
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%	667	611	$32K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	11%	147	140	$10K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.4%	64	61	$2K
80061	Lipid panel	2.1%	63	55	$2K
83036	Hemoglobin; glycosylated (A1C)	1.0%	42	38	$933.05
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	31	31	$647.36
84439		<1%	29	24	$573.19

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.