Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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ST Rafael Medicine LLC

ST Rafael Medicine LLC was paid $901K by Medicaid between Dec 2022 and Jul 2023, across 17 billing codes. Its largest line is 97112, Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination — 31% of everything it billed.

33Billing provider infoST RAFAEL MEDICINE LLC
LAS VEGAS, NV 89121
33aNPI1972215325assigned 12/16/2022
33bProvider typeClinic/Center
28Total paid$901K
24GClaims27,049
24DCodes billed17
24AFirst – last monthDec 2022 – Jul 2023
Compared with peers

Next to other Clinic/Center providers in Nevada

Rank by total paid#22 of 62
Median peer was paid$254K
This provider vs. median3.6×

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

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
2022276$6K
202326,773$895K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 31% 5,191 613 $282K
97032 18% 5,192 618 $161K
98960 12% 2,405 305 $111K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 10% 5,184 613 $94K
97016 9.1% 5,187 613 $82K
Q3014 Telehealth originating site facility fee 6.1% 2,403 305 $55K
95816 4.2% 146 144 $38K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 3.5% 91 86 $31K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.2% 91 86 $11K
92652 1.1% 147 144 $10K
95044 <1% 31 30 $8K
H2011 Crisis intervention service, per 15 minutes <1% 252 77 $7K
5 more codes
96137 <1% 146 $4K
96132 <1% 146 $4K
96136 <1% 146 $3K
95930 0% 146 $0.00
95957 0% 145 $0.00

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.

From NPPES

Who's on the registration

Authorized officialGONZALEZ, JUANA (OWNER)