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

D'silva, Ralph

D'silva, Ralph was paid $181K by Medicaid between Jan 2018 and Aug 2019, across 3 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 51% of everything it billed.

33Billing provider infoD'SILVA, RALPH
CHANDLER, AZ 85224
33aNPI1871594259assigned 08/09/2005
28Total paid$181K
24GClaims5,126
24DCodes billed3
24AFirst – last monthJan 2018 – Aug 2019
Compared with peers

Next to other Internal Medicine Physician providers in Arizona

Rank by total paid#142 of 395
Median peer was paid$68K
This provider vs. median2.7×

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$10K$20K$30K2018201920202021202220232024
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
20184,925$171K
2019201$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 51% 3,123 419 $92K
99223 Prolong inpt eval add15 m 33% 1,025 457 $59K
99239 Hospital discharge day management, more than 30 minutes 17% 978 441 $30K

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.