Jose L Raygada MD PLLC

Jose L Raygada MD PLLC was paid $172K by Medicaid between Jan 2018 and Sep 2024, across 5 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 74% of everything it billed.

33Billing provider infoJOSE L RAYGADA MD PLLC
MT PLEASANT, MI 48858

33aNPI1730563875assigned 07/18/2015

33bProvider typeInfectious Disease Physician

28Total paid$172K

24GClaims2,384

24DCodes billed5

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Infectious Disease Physician providers in Michigan

Rank by total paid#27 of 43

Median peer was paid$278K

This provider vs. median0.6×

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	90	$6K
2019	289	$21K
2020	468	$32K
2021	603	$40K
2022	415	$31K
2023	339	$26K
2024incomplete	180	$17K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	74%	1,226	1,191	$127K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	23%	1,058	536	$40K
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	2.3%	54	50	$4K
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%	28	28	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	18	18	$436.52

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.

From NPPES

Who's on the registration

Authorized officialRAYGADA, JOSE (SOLE OWNER)