Roman-Grau, Radames

Roman-Grau, Radames was paid $97K by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 94% of everything it billed.

33Billing provider infoROMAN-GRAU, RADAMES
ANASCO, PR 00610

33aNPI1871606657assigned 08/16/2006

33bProvider typeGynecology Physician

28Total paid$97K

24GClaims2,633

24DCodes billed3

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Gynecology Physician providers in Puerto Rico

Rank by total paid#13 of 32

Median peer was paid$52K

This provider vs. median1.9×

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	883	$16K
2019	466	$8K
2020	835	$49K
2021	229	$21K
2024incomplete	220	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	94%	2,369	1,330	$92K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.8%	90	77	$6K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	174	94	$46.13

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.