Physician
Torres, Rafael
Torres, Rafael was paid $194K by Medicaid between Jan 2018 and Aug 2022, across 6 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 51% of everything it billed.
33Billing provider infoTORRES, RAFAEL
WARWICK, RI 02886
WARWICK, RI 02886
33aNPI1396751665assigned 07/31/2006
33bProvider typePsychiatry Physician
28Total paid$194K
24GClaims2,758
24DCodes billed6
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other Psychiatry Physician providers in Rhode Island
Rank by total paid#31 of 140
Median peer was paid$50K
This provider vs. median3.9×
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 | 607 | $51K | |
| 2019 | 487 | $41K | |
| 2020 | 558 | $30K | |
| 2021 | 822 | $51K | |
| 2022 | 284 | $21K |
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 | 51% | 987 | 386 | $100K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 34% | 1,312 | 867 | $66K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.9% | 254 | 234 | $11K |
| 90836 | 4.4% | 119 | 105 | $9K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.0% | 34 | 28 | $4K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.0% | 52 | 25 | $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.