Sein, Rafael
Sein, Rafael was paid $144K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoSEIN, RAFAEL
SAN JUAN, PR 00909
SAN JUAN, PR 00909
33aNPI1972568541assigned 04/18/2006
33bProvider typeSpecialist
28Total paid$144K
24GClaims2,877
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Puerto Rico
Rank by total paid#88 of 316
Median peer was paid$26K
This provider vs. median5.6×
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
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 | 451 | $10K | |
| 2019 | 544 | $20K | |
| 2020 | 220 | $11K | |
| 2021 | 639 | $39K | |
| 2022 | 490 | $25K | |
| 2023 | 193 | $12K | |
| 2024incomplete | 340 | $25K |
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 | 46% | 1,584 | 1,427 | $66K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 38% | 835 | 785 | $55K |
| 99242 | 8.4% | 327 | 292 | $12K | |
| 95886 | 6.0% | 96 | 92 | $9K | |
| 95911 | 1.3% | 13 | 12 | $2K | |
| 95831 | <1% | 22 | 12 | $63.20 |
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.