RAFAELITO VICTORIA, MD
Internal Medicine Physician · LA PALMA, CA
Individual Active NPI 1548363989
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 266 | 3,265 | $359,642 | $309,039 | $241,769 |
| 2023 | 575 | 5,579 | $664,856 | $514,198 | $394,944 |
| 2022 | 556 | 3,812 | $498,697 | $415,430 | $328,347 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 668 | $54 | $42 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 639 | $139 | $100 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 609 | $55 | $42 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 171 | $81 | $65 |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow | 154 | $112 | $87 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 139 | $80 | $61 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 137 | $140 | $140 |
| 99491 | Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month | 126 | $90 | $66 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 103 | $122 | $97 |
| 99239 | Hospital discharge day management, more than 30 minutes | 69 | $119 | $95 |
| 99497 | Advance care planning, first 30 minutes | 63 | $87 | $84 |
| 99291 | Critical care, first 30-74 minutes | 62 | $216 | $172 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ✓ | A50351 | CA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.