Betancourt Garcia, Rafael

Betancourt Garcia, Rafael was paid $97K by Medicaid between Feb 2018 and Oct 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.

33Billing provider infoBETANCOURT GARCIA, RAFAEL
GUAYNABO, PR 00969

33aNPI1831181452assigned 08/19/2005

33bProvider typeHematology & Oncology Physician

28Total paid$97K

24GClaims1,812

24DCodes billed9

24AFirst – last monthFeb 2018 – Oct 2024

Compared with peers

Next to other Hematology & Oncology Physician providers in Puerto Rico

Rank by total paid#31 of 59

Median peer was paid$110K

This provider vs. median0.9×

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	204	$4K
2019	73	$951.02
2020	89	$541.21
2021	74	$2K
2022	319	$15K
2023	880	$63K
2024incomplete	173	$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	37%	625	527	$36K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	20%	195	109	$20K
96415		13%	136	72	$12K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	9.3%	118	113	$9K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	6.7%	364	292	$6K
96367		5.9%	183	101	$6K
Q0084	Chemotherapy administration by infusion technique only, per visit	5.7%	84	51	$6K
96417		1.9%	31	12	$2K
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	<1%	76	50	$339.89

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.