Gandia, Rafael
Gandia, Rafael was paid $0.00 by Medicaid between Oct 2019 and Oct 2024, across 2 billing codes. Its largest line is 90833, Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) — 0% of everything it billed.
33Billing provider infoGANDIA, RAFAEL
TOA BAJA, PR 00949
TOA BAJA, PR 00949
33aNPI1578688099assigned 03/21/2007
33bProvider typeSpecialist
28Total paid$0.00
24GClaims4,597
24DCodes billed2
24AFirst – last monthOct 2019 – Oct 2024
Compared with peers
Next to other Specialist providers in Puerto Rico
Rank by total paid#288 of 316
Median peer was paid$26K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2019 | 279 | $0.00 | |
| 2020 | 1,130 | $0.00 | |
| 2021 | 794 | $0.00 | |
| 2022 | 744 | $0.00 | |
| 2023 | 1,045 | $0.00 | |
| 2024incomplete | 605 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 2,256 | 1,759 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 0% | 2,341 | 1,828 | $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.