Ramos, Mario

Ramos, Mario was paid $28K by Medicaid between Jan 2018 and May 2024, across 3 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 60% of everything it billed.

33Billing provider infoRAMOS, MARIO
SAN JUAN, PR 00923

33aNPI1851412910assigned 04/03/2007

33bProvider typePulmonary Disease Physician

28Total paid$28K

24GClaims384

24DCodes billed3

24AFirst – last monthJan 2018 – May 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Puerto Rico

Rank by total paid#33 of 55

Median peer was paid$68K

This provider vs. median0.4×

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	172	$3K
2019	35	$0.00
2022	45	$5K
2023	106	$17K
2024incomplete	26	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	60%	144	131	$17K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	30%	33	14	$8K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	10.0%	207	191	$3K

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.