Physician
Raphael, Jenny
Raphael, Jenny was paid $260K by Medicaid between Mar 2018 and Jul 2021, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoRAPHAEL, JENNY
ROSEVILLE, CA 95661
ROSEVILLE, CA 95661
33aNPI1730243676assigned 12/21/2006
33bProvider typePediatrics Physician
28Total paid$260K
24GClaims4,456
24DCodes billed23
24AFirst – last monthMar 2018 – Jul 2021
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#318 of 1,490
Median peer was paid$15K
This provider vs. median17×
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 | 1,300 | $94K | |
| 2019 | 1,649 | $63K | |
| 2020 | 767 | $50K | |
| 2021 | 740 | $52K |
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 | 25% | 713 | 696 | $66K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 19% | 334 | 324 | $50K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 906 | 480 | $31K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 214 | 214 | $29K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.3% | 160 | 160 | $22K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.3% | 451 | 451 | $14K |
| 90461 | 3.0% | 436 | 132 | $8K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.5% | 84 | 84 | $7K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.1% | 308 | 308 | $5K |
| 96127 | 2.0% | 292 | 292 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 42 | 42 | $5K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.8% | 192 | 192 | $5K |
11 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.6% | 38 | $4K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 1.4% | 71 | $4K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 1.4% | 71 | $4K |
| 85027 | <1% | 40 | $654.93 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 12 | $443.16 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 26 | $353.08 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 12 | $277.80 |
| 81025 | <1% | 15 | $195.60 | |
| 83525 | <1% | 12 | $189.00 | |
| 82947 | <1% | 13 | $70.33 | |
| 81003 | <1% | 14 | $43.40 |
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.