Physician
Machin, Rafael
Machin, Rafael was paid $4K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 96160, — 50% of everything it billed.
33Billing provider infoMACHIN, RAFAEL
AGUADA, PR 00602
AGUADA, PR 00602
33aNPI1649221607assigned 05/15/2006
33bProvider typeGeneral Practice Physician
28Total paid$4K
24GClaims15,380
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#524 of 1,195
Median peer was paid$2K
This provider vs. median1.8×
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 | 504 | $1K | |
| 2019 | 917 | $0.00 | |
| 2020 | 1,511 | $0.00 | |
| 2021 | 3,267 | $585.00 | |
| 2022 | 2,968 | $106.98 | |
| 2023 | 3,594 | $0.00 | |
| 2024incomplete | 2,619 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96160 | 50% | 217 | 167 | $2K | |
| G9006 | Coordinated care fee, home monitoring | 32% | 61 | 60 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 15% | 49 | 49 | $585.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.8% | 14,089 | 11,347 | $106.98 |
| 4035F | 0% | 38 | 38 | $0.00 | |
| 1159F | 0% | 64 | 29 | $0.00 | |
| 3078F | 0% | 232 | 191 | $0.00 | |
| 99442 | 0% | 116 | 110 | $0.00 | |
| 99336 | 0% | 52 | 17 | $0.00 | |
| 99334 | 0% | 88 | 88 | $0.00 | |
| 1160F | 0% | 64 | 29 | $0.00 | |
| 0521F | 0% | 13 | 12 | $0.00 |
5 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.