Roura Arias, Raul

Roura Arias, Raul was paid $141K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 52% of everything it billed.

33Billing provider infoROURA ARIAS, RAUL
HATO REY, PR 00918

33aNPI1659590818assigned 04/25/2007

33bProvider typeOrthopaedic Surgery Physician

28Total paid$141K

24GClaims3,332

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Puerto Rico

Rank by total paid#27 of 61

Median peer was paid$122K

This provider vs. median1.2×

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	453	$8K
2019	437	$6K
2020	516	$19K
2021	580	$24K
2022	441	$20K
2023	518	$36K
2024incomplete	387	$29K

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	52%	1,133	1,041	$73K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	47%	1,319	1,183	$66K
20610		<1%	13	12	$589.10
99024		<1%	851	699	$467.79
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	<1%	16	16	$341.16

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.