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
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
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 | 45 | $2K | |
| 2022 | 12 | $2K | |
| 2023 | 58 | $7K | |
| 2024incomplete | 148 | $12K |
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 | 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.