Physician
Torres Melendez, Rafael
Torres Melendez, Rafael was paid $261.27 by Medicaid between Mar 2023 and Oct 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.
33Billing provider infoTORRES MELENDEZ, RAFAEL
JUANA DIAZ, PR 00795
JUANA DIAZ, PR 00795
33aNPI1720684210assigned 12/09/2020
33bProvider typeGeneral Practice Physician
28Total paid$261.27
24GClaims1,664
24DCodes billed12
24AFirst – last monthMar 2023 – Oct 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#801 of 1,195
Median peer was paid$2K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2023 | 450 | $261.27 | |
| 2024incomplete | 1,214 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 100% | 426 | 337 | $261.27 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 12 | 12 | $0.00 |
| 3078F | 0% | 66 | 54 | $0.00 | |
| 1159F | 0% | 65 | 58 | $0.00 | |
| 1160F | 0% | 64 | 56 | $0.00 | |
| 96127 | 0% | 67 | 60 | $0.00 | |
| 1126F | 0% | 17 | 16 | $0.00 | |
| 3074F | 0% | 264 | 208 | $0.00 | |
| 3008F | 0% | 436 | 337 | $0.00 | |
| 3079F | 0% | 158 | 120 | $0.00 | |
| 3075F | 0% | 37 | 24 | $0.00 | |
| 1170F | 0% | 52 | 45 | $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.