Del Prado Escovar, Ramon

Del Prado Escovar, Ramon was paid $160K by Medicaid between Jan 2018 and Sep 2024, across 8 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 26% of everything it billed.

33Billing provider infoDEL PRADO ESCOVAR, RAMON
PONCE, PR 00717

33aNPI1447235239assigned 12/14/2005

33bProvider typeNeurological Surgery Physician

28Total paid$160K

24GClaims3,741

24DCodes billed8

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Neurological Surgery Physician providers in Puerto Rico

Rank by total paid#1 of 10

Median peer was paid$26K

This provider vs. median6.2×

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	946	$24K
2019	758	$16K
2020	545	$25K
2021	569	$35K
2022	364	$28K
2023	411	$26K
2024incomplete	148	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	26%	904	850	$41K
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	21%	744	673	$33K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	20%	977	895	$33K
99205	Prolong outpt/office vis	20%	591	556	$31K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	7.3%	302	294	$12K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	5.2%	162	158	$8K
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	1.1%	17	16	$2K
99401		<1%	44	42	$702.54

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.