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

Torrellas, Rafael

Torrellas, Rafael was paid $58K by Medicaid between Apr 2019 and Sep 2023, across 7 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 54% of everything it billed.

33Billing provider infoTORRELLAS, RAFAEL
BAYAMON, PR 00961
33aNPI1841394079assigned 09/08/2006
33bProvider typeSurgery Physician
28Total paid$58K
24GClaims993
24DCodes billed7
24AFirst – last monthApr 2019 – Sep 2023
Compared with peers

Next to other Surgery Physician providers in Puerto Rico

Rank by total paid#38 of 111
Median peer was paid$28K
This provider vs. median2.0×

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$4.0K$6.0K2018201920202021202220232024
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
2019127$4K
2020253$9K
2021140$5K
2022279$24K
2023194$16K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 54% 245 222 $31K
99254 15% 243 234 $9K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 301 264 $8K
99255 5.2% 93 82 $3K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4.9% 68 64 $3K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 3.8% 16 13 $2K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.9% 27 25 $2K

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.