Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 9 | 449 | 694 | $156,411 | $17,814 |
| 2022 | 8 | 408 | 577 | $144,862 | $16,646 |
| 2021 | 11 | 433 | 686 | $162,364 | $20,009 |
| 2020 | 5 | 153 | 209 | $45,521 | $5,945 |
All Medicare Procedures & Services
34 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | Facility | 2023 | 164 | 272 | $79,696 | $7,490 | 9.4% |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | Facility | 2023 | 36 | 49 | $22,148 | $3,049 | 13.8% |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | Facility | 2023 | 19 | 104 | $14,352 | $2,215 | 15.4% |
| 88331 | Pathology examination of specimen during surgery, first tissue block | Facility | 2023 | 23 | 38 | $9,690 | $1,638 | 16.9% |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | Facility | 2023 | 51 | 57 | $9,975 | $1,190 | 11.9% |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | Facility | 2023 | 48 | 55 | $4,125 | $1,082 | 26.2% |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | Facility | 2023 | 22 | 23 | $3,174 | $606.51 | 19.1% |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | Facility | 2023 | 39 | 47 | $9,870 | $385.65 | 3.9% |
| 88300 | Pathology examination of tissue using a microscope, limited examination | Facility | 2023 | 47 | 49 | $3,381 | $156.98 | 4.6% |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | Facility | 2022 | 164 | 259 | $75,887 | $7,398 | 9.7% |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | Facility | 2022 | 36 | 51 | $23,052 | $3,185 | 13.8% |
| 88331 | Pathology examination of specimen during surgery, first tissue block | Facility | 2022 | 33 | 59 | $15,045 | $2,739 | 18.2% |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | Facility | 2022 | 50 | 59 | $10,325 | $1,265 | 12.3% |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | Facility | 2022 | 38 | 44 | $3,300 | $869.33 | 26.3% |
| 88333 | Pathology cytologic examination of specimen during surgery, initial site | Facility | 2022 | 11 | 12 | $2,940 | $572.95 | 19.5% |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | Facility | 2022 | 43 | 56 | $11,760 | $491.87 | 4.2% |
| 88300 | Pathology examination of tissue using a microscope, limited examination | Facility | 2022 | 33 | 37 | $2,553 | $125.18 | 4.9% |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | Facility | 2021 | 162 | 265 | $77,645 | $7,664 | 9.9% |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | Facility | 2021 | 40 | 53 | $23,956 | $3,461 | 14.4% |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | Facility | 2021 | 15 | 108 | $14,904 | $2,425 | 16.3% |
| 88331 | Pathology examination of specimen during surgery, first tissue block | Facility | 2021 | 23 | 39 | $9,945 | $1,813 | 18.2% |
| 88309 | Pathology examination of tissue using a microscope, high complexity | Facility | 2021 | 12 | 12 | $6,588 | $1,383 | 21.0% |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | Facility | 2021 | 45 | 55 | $9,625 | $1,191 | 12.4% |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | Facility | 2021 | 30 | 37 | $2,775 | $738.54 | 26.6% |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | Facility | 2021 | 18 | 20 | $2,760 | $554.01 | 20.1% |
About Dr. Elsa Sotelo-Rafiq, M.D
Dr. Elsa Sotelo-Rafiq, M.D is a Anatomic Pathology healthcare provider based in Houston, Texas. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 04/29/2009. The National Provider Identifier (NPI) number assigned to this provider is 1740424142.
As a Medicare-enrolled provider, Sotelo-Rafiq has provided services to 1,443 Medicare beneficiaries, totaling 2,166 services with total Medicare billing of $60,414. Data is available for 4 years (2020–2023), covering 34 distinct procedure/service records.
Practice Information
- Specialty Anatomic Pathology
- Location Houston, TX
- Active Since 04/29/2009
- Last Updated 04/29/2009
- Taxonomy Code 207ZP0101X
- Entity Type Individual
- NPI Number 1740424142
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Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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