Physician
Ramos, Rafael
Ramos, Rafael was paid $2K by Medicaid between Feb 2018 and May 2019, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 98% of everything it billed.
33Billing provider infoRAMOS, RAFAEL
LAS PIEDRAS, PR 00771
LAS PIEDRAS, PR 00771
33aNPI1417968520assigned 08/11/2006
33bProvider typeGeneral Practice Physician
28Total paid$2K
24GClaims1,038
24DCodes billed10
24AFirst – last monthFeb 2018 – May 2019
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#613 of 1,195
Median peer was paid$2K
This provider vs. median0.9×
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 | 694 | $2K | |
| 2019 | 344 | $0.00 |
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 | 98% | 252 | 131 | $2K |
| 3078F | 1.6% | 32 | 28 | $29.40 | |
| 3074F | <1% | 12 | 12 | $9.80 | |
| 1159F | 0% | 180 | 127 | $0.00 | |
| 1160F | 0% | 180 | 127 | $0.00 | |
| 96160 | 0% | 159 | 78 | $0.00 | |
| 0521F | 0% | 85 | 72 | $0.00 | |
| 1170F | 0% | 86 | 73 | $0.00 | |
| 1157F | 0% | 26 | 26 | $0.00 | |
| 1125F | 0% | 26 | 26 | $0.00 |
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.