Physician
Arias Berrios, Rafael
Arias Berrios, Rafael was paid $344K by Medicaid between Dec 2019 and Nov 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoARIAS BERRIOS, RAFAEL
BAYAMON, PR 00961
BAYAMON, PR 00961
33aNPI1396185831assigned 06/28/2013
33bProvider typePain Medicine (Physical Medicine & Rehabilitation) Physician
28Total paid$344K
24GClaims6,099
24DCodes billed6
24AFirst – last monthDec 2019 – Nov 2024
Compared with peers
Next to other Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in Puerto Rico
Rank by total paid#3 of 11
Median peer was paid$149K
This provider vs. median2.3×
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 | |
|---|---|---|---|
| 2019 | 21 | $704.00 | |
| 2020 | 1,007 | $48K | |
| 2021 | 1,477 | $77K | |
| 2022 | 1,313 | $67K | |
| 2023 | 1,439 | $92K | |
| 2024incomplete | 842 | $60K |
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 | 47% | 2,898 | 2,553 | $162K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 29% | 1,471 | 1,317 | $99K |
| 20553 | 19% | 1,532 | 1,393 | $65K | |
| 64493 | 2.9% | 66 | 52 | $10K | |
| 64494 | 1.1% | 66 | 52 | $4K | |
| 64495 | 1.1% | 66 | 52 | $4K |
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.