Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
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

$0$5.0K$10K$15K2018201920202021202220232024
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
2018607$51K
2019487$41K
2020558$30K
2021822$51K
2022284$21K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.