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

Roman Ramos, Jose

Roman Ramos, Jose was paid $607K by Medicaid between Sep 2019 and Nov 2024, across 14 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 30% of everything it billed.

33Billing provider infoROMAN RAMOS, JOSE
COTO LAUREL, PR 00780
33aNPI1811259781assigned 06/15/2012
28Total paid$607K
24GClaims7,980
24DCodes billed14
24AFirst – last monthSep 2019 – Nov 2024
Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#24 of 518
Median peer was paid$5K
This provider vs. median122×

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$25K$50K$75K2018201920202021202220232024
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
201936$2K
202047$6K
2022842$46K
20233,352$247K
2024incomplete3,703$307K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 30% 1,363 964 $182K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24% 2,084 1,681 $147K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 17% 1,710 340 $106K
99222 Initial hospital care, per day, moderate complexity 11% 597 333 $65K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7.1% 556 361 $43K
93458 4.4% 25 12 $27K
93000 1.9% 804 527 $12K
93224 1.6% 99 73 $10K
99221 <1% 90 89 $6K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m <1% 57 12 $5K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 490 314 $4K
93016 <1% 29 27 $661.12
2 more codes
93018 <1% 29 $608.74
3078F 0% 47 $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.