Physician
Rafael Medicus Clinic, Corp.
Rafael Medicus Clinic, Corp. was paid $635K by Medicaid between Jan 2018 and Sep 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoRAFAEL MEDICUS CLINIC, CORP.
LAKEWOOD, WA 98499
LAKEWOOD, WA 98499
33aNPI1558718684assigned 05/18/2016
33bProvider typeFamily Medicine Physician
28Total paid$635K
24GClaims22,407
24DCodes billed11
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Family Medicine Physician providers in Washington
Rank by total paid#80 of 347
Median peer was paid$53K
This provider vs. median12×
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 | 4,518 | $142K | |
| 2019 | 5,669 | $175K | |
| 2020 | 4,442 | $130K | |
| 2021 | 3,080 | $79K | |
| 2022 | 2,529 | $61K | |
| 2023 | 1,587 | $35K | |
| 2024incomplete | 582 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 50% | 6,101 | 4,628 | $319K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 5,525 | 4,747 | $221K |
| 80305 | 11% | 9,559 | 7,108 | $72K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.9% | 157 | 134 | $12K |
| 99408 | <1% | 576 | 463 | $5K | |
| 99205 | Prolong outpt/office vis | <1% | 14 | 13 | $2K |
| 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% | 14 | 14 | $1K |
| 99443 | <1% | 27 | 26 | $904.32 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 403 | 383 | $685.11 |
| 99442 | <1% | 17 | 17 | $453.60 | |
| 99402 | 0% | 14 | 12 | $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.
From NPPES
Who's on the registration
Authorized officialRUIZ, GLENN NOEL (PRESIDENT)