Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Figueroa Navarro, Rafael

Figueroa Navarro, Rafael was paid $178K by Medicaid between Jul 2022 and Nov 2024, across 8 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 43% of everything it billed.

33Billing provider infoFIGUEROA NAVARRO, RAFAEL
SAN JUAN, PR 00922
33aNPI1386800910assigned 08/04/2008
28Total paid$178K
24GClaims1,682
24DCodes billed8
24AFirst – last monthJul 2022 – Nov 2024
Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#81 of 518
Median peer was paid$5K
This provider vs. median36×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
2022111$3K
2023409$44K
2024incomplete1,162$132K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 43% 497 341 $77K
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 28% 488 356 $49K
99223 Prolong inpt eval add15 m 13% 130 58 $23K
99222 Initial hospital care, per day, moderate complexity 9.2% 246 163 $16K
93000 2.3% 203 144 $4K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2.3% 34 12 $4K
93458 2.2% 19 13 $4K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 65 28 $979.97

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.