Physician
Mimbela, Rafael
Mimbela, Rafael was paid $4.36M by Medicaid between Mar 2020 and Dec 2024, across 12 billing codes. Its largest line is 95816, — 31% of everything it billed.
33Billing provider infoMIMBELA, RAFAEL
BROWNSVILLE, TX 78526
BROWNSVILLE, TX 78526
33aNPI1730296047assigned 08/23/2006
33bProvider typePediatric Neurodevelopmental Disabilities Physician
28Total paid$4.36M
24GClaims40,060
24DCodes billed12
24AFirst – last monthMar 2020 – Dec 2024
Compared with peers
Next to other Pediatric Neurodevelopmental Disabilities Physician providers in Texas
Rank by total paid#3 of 7
Median peer was paid$25K
This provider vs. median177×
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 | |
|---|---|---|---|
| 2020 | 1,366 | $112K | |
| 2021 | 9,335 | $874K | |
| 2022 | 9,814 | $1.11M | |
| 2023 | 9,875 | $1.12M | |
| 2024incomplete | 9,670 | $1.14M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95816 | 31% | 4,054 | 4,007 | $1.34M | |
| 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 | 30% | 23,474 | 21,570 | $1.29M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 11% | 5,520 | 5,133 | $472K |
| 95819 | 8.3% | 922 | 912 | $360K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 7.5% | 3,350 | 3,293 | $326K |
| 95716 | 7.2% | 237 | 230 | $313K | |
| 99205 | Prolong outpt/office vis | 2.7% | 972 | 956 | $118K |
| 95700 | 1.5% | 299 | 290 | $66K | |
| 95720 | <1% | 242 | 236 | $43K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 537 | 530 | $21K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 409 | 388 | $7K |
| 99051 | <1% | 44 | 44 | $178.30 |
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.