Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Ramos, Axel

Ramos, Axel was paid $492K by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is 99284, emergency room visit (serious) — 34% of everything it billed.

33Billing provider infoRAMOS, AXEL
CAGUAS, PR 00727
33aNPI1760513089assigned 03/08/2007
33bProvider typePediatrics Physician
28Total paid$492K
24GClaims8,479
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Pediatrics Physician providers in Puerto Rico

Rank by total paid#18 of 194
Median peer was paid$7K
This provider vs. median73×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20181,127$28K
20191,313$53K
2020335$14K
2021913$44K
20221,804$107K
20231,806$133K
2024incomplete1,181$113K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 34% 1,728 1,304 $167K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 15% 1,485 1,318 $76K
99223 Prolong inpt eval add15 m 12% 512 492 $61K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 11% 1,288 540 $56K
99243 9.2% 1,097 977 $45K
99238 Hospital discharge day management, 30 minutes or less 7.2% 922 889 $35K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 4.5% 460 371 $22K
99241 3.4% 399 386 $17K
99244 Office or other outpatient consultation, moderate to high complexity 1.5% 340 328 $7K
99221 1.2% 248 242 $6K

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.