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

Mora-Ruiz, Edwin

Mora-Ruiz, Edwin was paid $23K by Medicaid between Apr 2018 and Dec 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.

33Billing provider infoMORA-RUIZ, EDWIN
BAYAMON, PR 00961
33aNPI1801929518assigned 03/13/2007
33bProvider typeNephrology Physician
28Total paid$23K
24GClaims263
24DCodes billed2
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers

Next to other Nephrology Physician providers in Puerto Rico

Rank by total paid#50 of 81
Median peer was paid$66K
This provider vs. median0.3×

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$2.0K$4.0K2018201920202021202220232024
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
201845$2K
202212$2K
202358$7K
2024incomplete148$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 63% 212 206 $14K
99205 Prolong outpt/office vis 37% 51 51 $9K

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.