Trinidad Hernandez, Rafael

Trinidad Hernandez, Rafael was paid $174K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 78% of everything it billed.

33Billing provider infoTRINIDAD HERNANDEZ, RAFAEL
SAN JUAN, PR 00912

33aNPI1932357092assigned 09/03/2008

33bProvider typeEndocrinology, Diabetes & Metabolism Physician

28Total paid$174K

24GClaims3,972

24DCodes billed6

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Endocrinology, Diabetes & Metabolism Physician providers in Puerto Rico

Rank by total paid#9 of 52

Median peer was paid$23K

This provider vs. median7.5×

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	775	$26K
2019	424	$18K
2020	474	$22K
2021	412	$19K
2022	467	$21K
2023	781	$35K
2024incomplete	639	$32K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	78%	2,498	2,451	$135K
99231	Subsequent hospital care, per day, straightforward or low complexity	20%	1,398	391	$34K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	29	29	$2K
99221		<1%	18	18	$1K
99251		<1%	16	14	$720.00
99442		<1%	13	13	$650.00

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.