Ramirez, Susana

Ramirez, Susana was paid $316K by Medicaid between Jan 2018 and Jul 2022, across 5 billing codes. Its largest line is 99285, emergency room visit (most serious) — 67% of everything it billed.

33Billing provider infoRAMIREZ, SUSANA
SAN JUAN, PR 00927

33aNPI1972533818assigned 07/04/2006

33bProvider typeEmergency Medicine Physician

28Total paid$316K

24GClaims5,419

24DCodes billed5

24AFirst – last monthJan 2018 – Jul 2022

Compared with peers

Next to other Emergency Medicine Physician providers in Puerto Rico

Rank by total paid#6 of 46

Median peer was paid$14K

This provider vs. median22×

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	1,034	$47K
2019	1,591	$73K
2020	1,323	$79K
2021	1,147	$89K
2022	324	$29K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	67%	2,963	2,620	$212K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	21%	1,311	1,155	$65K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	11%	1,062	931	$34K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	1.7%	42	38	$5K
93042		<1%	41	33	$4.30

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.