Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Houston › NPI 1972595395
Physician

Deayala, Rafael

Deayala, Rafael was paid $50K by Medicaid between Oct 2020 and Mar 2022, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.

33Billing provider infoDEAYALA, RAFAEL
HOUSTON, TX 77024
33aNPI1972595395assigned 08/22/2005
28Total paid$50K
24GClaims4,651
24DCodes billed7
24AFirst – last monthOct 2020 – Mar 2022
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Texas

Rank by total paid#265 of 432
Median peer was paid$103K
This provider vs. median0.5×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
2020637$4K
20213,718$41K
2022296$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 68% 957 565 $34K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 26% 119 116 $13K
81002 6.0% 1,048 594 $3K
81025 <1% 15 14 $93.99
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 829 493 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 0% 830 489 $0.00
1036F 0% 853 507 $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.