Physician
Vasquez Pelyhe, Rafael
Vasquez Pelyhe, Rafael was paid $22K by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 99244, Office or other outpatient consultation, moderate to high complexity — 39% of everything it billed.
33Billing provider infoVASQUEZ PELYHE, RAFAEL
COTO LAUREL, PR 00780
COTO LAUREL, PR 00780
33aNPI1578506234assigned 06/13/2006
33bProvider typeInternal Medicine Physician
28Total paid$22K
24GClaims5,613
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Puerto Rico
Rank by total paid#210 of 518
Median peer was paid$5K
This provider vs. median4.5×
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 | 1,318 | $949.34 | |
| 2019 | 95 | $735.82 | |
| 2020 | 226 | $2K | |
| 2021 | 653 | $4K | |
| 2022 | 829 | $5K | |
| 2023 | 1,313 | $9K | |
| 2024incomplete | 1,179 | $690.25 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99244 | Office or other outpatient consultation, moderate to high complexity | 39% | 571 | 476 | $9K |
| 93000 | 30% | 1,001 | 807 | $7K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 995 | 782 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 768 | 557 | $336.16 |
| 1158F | <1% | 59 | 48 | $32.00 | |
| 1157F | <1% | 55 | 45 | $32.00 | |
| 1090F | 0% | 45 | 39 | $0.00 | |
| 2028F | 0% | 72 | 57 | $0.00 | |
| 3078F | 0% | 72 | 57 | $0.00 | |
| 1159F | 0% | 59 | 48 | $0.00 | |
| 2022F | 0% | 32 | 25 | $0.00 | |
| 1160F | 0% | 49 | 40 | $0.00 |
14 more codes
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.