Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

RAFAEL RAFOLS MD PA

NPI: 1891071106 · MISSION, TX 78572 · Family Medicine Physician · NPI assigned 10/31/2011

$221K
Total Medicaid Paid
22,160
Total Claims
11,687
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRAFOLS, RAFAEL (SOLE MEMBER)
NPI Enumeration Date10/31/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,110 $8K
2019 2,831 $9K
2020 3,021 $12K
2021 4,129 $44K
2022 3,719 $61K
2023 2,288 $40K
2024 3,062 $47K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 3,906 1,416 $55K
99308 Subsequent nursing facility care, per day, straightforward 10,977 4,358 $51K
99222 Initial hospital care, per day, moderate complexity 1,781 1,695 $43K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,264 1,907 $34K
99233 Prolong inpt eval add15 m 843 274 $14K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 809 673 $12K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,104 951 $8K
99309 Subsequent nursing facility care, per day, low to moderate complexity 116 56 $2K
99305 305 303 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $374.90
97597 29 28 $109.08
99442 14 14 $0.00