Supplier
Farmacia San Rafael Santurce, INC
Farmacia San Rafael Santurce, INC was paid $1.51M by Medicaid between Jan 2018 and Aug 2024, across 16 billing codes. Its largest line is J9035, Injection, bevacizumab, 10 mg — 64% of everything it billed.
33Billing provider infoFARMACIA SAN RAFAEL SANTURCE, INC
SAN JUAN, PR 00909
SAN JUAN, PR 00909
33aNPI1952446825assigned 02/20/2007
33bProvider typeCommunity/Retail Pharmacy
28Total paid$1.51M
24GClaims5,331
24DCodes billed16
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Community/Retail Pharmacy providers in Puerto Rico
Rank by total paid#2 of 23
Median peer was paid$3K
This provider vs. median553×
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 | 2,615 | $1.09M | |
| 2019 | 636 | $207K | |
| 2020 | 288 | $4K | |
| 2021 | 305 | $691.06 | |
| 2022 | 754 | $200K | |
| 2023 | 323 | $437.68 | |
| 2024incomplete | 410 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J9035 | Injection, bevacizumab, 10 mg | 64% | 215 | 121 | $960K |
| J9271 | Injection, pembrolizumab, 1 mg | 12% | 16 | 13 | $174K |
| J9263 | Injection, oxaliplatin, 0.5 mg | 7.1% | 88 | 44 | $107K |
| J9355 | Injection, trastuzumab, excludes biosimilar, 10 mg | 6.4% | 24 | 14 | $96K |
| J9070 | Cyclophosphamide, 100 mg | 4.9% | 104 | 64 | $74K |
| J0640 | Injection, leucovorin calcium, per 50 mg | 3.1% | 602 | 317 | $47K |
| J9190 | Injection, fluorouracil, 500 mg | <1% | 790 | 361 | $14K |
| J2916 | Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg | <1% | 73 | 70 | $9K |
| J9267 | Injection, paclitaxel, 1 mg | <1% | 123 | 69 | $9K |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 2,494 | 1,837 | $6K |
| J3489 | Injection, zoledronic acid, 1 mg | <1% | 75 | 62 | $5K |
| J9045 | Injection, carboplatin, 50 mg | <1% | 78 | 61 | $3K |
4 more codes
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.
From NPPES
Who's on the registration
Authorized officialDIAZ REYES, RAFAEL (ADMINISTRATOR)