Pena Valdivia, Raul

Pena Valdivia, Raul was paid $98K by Medicaid between Aug 2020 and Jan 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.

33Billing provider infoPENA VALDIVIA, RAUL
MANATI, PR 00674

33aNPI1962421545assigned 07/18/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$98K

24GClaims2,015

24DCodes billed3

24AFirst – last monthAug 2020 – Jan 2024

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Puerto Rico

Rank by total paid#64 of 185

Median peer was paid$53K

This provider vs. median1.8×

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
2020	323	$11K
2021	568	$31K
2022	423	$20K
2023	673	$34K
2024incomplete	28	$2K

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	60%	1,308	1,183	$59K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	37%	617	561	$36K
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	3.0%	90	89	$3K

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.