Physician
Paz, Rafael
Paz, Rafael was paid $15K by Medicaid between Mar 2022 and Oct 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 99% of everything it billed.
33Billing provider infoPAZ, RAFAEL
ARECIBO, PR 00612
ARECIBO, PR 00612
33aNPI1740805191assigned 06/11/2020
33bProvider typeGeneral Practice Physician
28Total paid$15K
24GClaims9,579
24DCodes billed16
24AFirst – last monthMar 2022 – Oct 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#372 of 1,195
Median peer was paid$2K
This provider vs. median7.4×
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 | |
|---|---|---|---|
| 2022 | 16 | $695.37 | |
| 2023 | 3,593 | $14K | |
| 2024incomplete | 5,970 | $135.00 |
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 | 99% | 1,109 | 897 | $15K |
| 96160 | <1% | 14 | 14 | $135.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 721 | 569 | $43.25 |
| 3079F | 0% | 686 | 531 | $0.00 | |
| 1126F | 0% | 551 | 433 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 125 | 109 | $0.00 |
| 3008F | 0% | 1,418 | 1,086 | $0.00 | |
| 3075F | 0% | 539 | 418 | $0.00 | |
| 1125F | 0% | 841 | 651 | $0.00 | |
| 1036F | 0% | 752 | 611 | $0.00 | |
| 3044F | 0% | 48 | 38 | $0.00 | |
| 3061F | 0% | 39 | 39 | $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.