Cordero-Arill, Rafael

Cordero-Arill, Rafael was paid $335K by Medicaid between Jan 2018 and Jan 2022, across 9 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 39% of everything it billed.

33Billing provider infoCORDERO-ARILL, RAFAEL
SAN JUAN, PR 00935

33aNPI1851584130assigned 08/21/2007

33bProvider typeInternal Medicine Physician

28Total paid$335K

24GClaims3,519

24DCodes billed9

24AFirst – last monthJan 2018 – Jan 2022

Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#44 of 518

Median peer was paid$5K

This provider vs. median67×

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	1,193	$93K
2019	617	$47K
2020	639	$74K
2021	1,032	$118K
2022	38	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	39%	591	559	$132K
45380	Colonoscopy, flexible; with biopsy, single or multiple	36%	494	459	$120K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	16%	1,648	1,544	$55K
99223	Prolong inpt eval add15 m	4.3%	463	427	$14K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.1%	221	195	$10K
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	<1%	42	41	$2K
99222	Initial hospital care, per day, moderate complexity	<1%	26	26	$975.52
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	<1%	16	16	$422.08
G0500	Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate)	<1%	18	15	$25.49

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.