npidexNPI registry + Medicare data

RAFAEL RAFOLS, M.D.

Family Medicine Physician · EDINBURG, TX

Individual Active NPI 1609028612

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20244123,713$2,006,594$1,277,603$1,004,834
20234373,605$2,095,305$1,152,325$914,240
20224785,368$1,201,542$601,975$472,528

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes717$70$54
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more432$66$50
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more404$66$49
99183Management of oxygen chamber therapy247$94$72
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes174$115$88
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more164$86$65
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes132$105$82
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes123$113$83
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more114$111$82
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes55$118$88
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes51$117$90
11042Removal of skin and tissue, 20.0 sq cm or less46$114$83

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Family Medicine Physician207Q00000X✓N4016TX

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.