Active NPI 1922081512 Individual Practitioner Male Practitioner

Dr. Rafael Ramirez , MD

Internal Medicine • Riverview, FL

Professional Overview & Biography Verified Profile Summary

Dr. Rafael Ramirez, MD is a certified Internal Medicine practicing in Riverview, FL. With approximately 41 years of clinical experience since completing medical education in 1985, Dr. Ramirez delivers high-quality medical care to the local community at 11924 BALM RIVERVIEW ROAD.

Dr. Ramirez does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, hospital discharge day management. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11924 Balm Riverview Road
Hillsborough

Riverview, FL 335693356

Telephone 8137179000

Associated Practice Facility / Clinic

🏢 Verimed Health Group Plant City, Llc Facility NPI 1538396650

Medicare Profile & Education

Medical School

Other

Graduation Year

1985

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Riverview, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +19.6 yrs vs City Avg

City Avg: 21.4 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

32 Specialists

Practicing in Riverview, FL (10650 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

6.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ramirez (41 Years) 41 Yrs

Riverview Specialty Average (21.4 Years) 21.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	110	34	$116.86	$109.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$170.12	$159.27
99238 Hospital discharge day management, 30 minutes or less	18	18	$79.76	$74.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	28	14	$110.00	$88.99
36415 Insertion of needle into vein for collection of blood sample	17	11	$15.00	$8.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	123	33	$102.59	$100.46
99213 Established patient office or other outpatient visit, typically 15 minutes	24	13	$108.53	$89.33
99238 Hospital discharge day management, 30 minutes or less	15	15	$72.13	$69.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$198.59	$195.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	221	69	$103.43	$103.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	104	20	$71.99	$71.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	33	$200.55	$200.55
99238 Hospital discharge day management, 30 minutes or less	36	31	$72.38	$72.38
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	23	23	$8.39	$8.39
99283 Emergency department visit with low level of medical decision making	13	13	$72.94	$72.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	204	59	$106.28	$105.36
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	29	$206.40	$204.92
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	32	27	$8.66	$8.60
99238 Hospital discharge day management, 30 minutes or less	29	25	$74.50	$74.05
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	13	$73.75	$73.09
99283 Emergency department visit with low level of medical decision making	21	20	$66.74	$65.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	307	66	$105.74	$104.05
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	150	41	$73.99	$72.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	40	$205.72	$202.43
99238 Hospital discharge day management, 30 minutes or less	45	35	$74.38	$73.19
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	40	34	$8.66	$8.52
99283 Emergency department visit with low level of medical decision making	21	19	$63.26	$62.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	204	87	$106.18	$101.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	103	44	$74.12	$71.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	37	$206.66	$197.96
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	34	31	$8.64	$8.28
99238 Hospital discharge day management, 30 minutes or less	26	24	$74.57	$71.42
99283 Emergency department visit with low level of medical decision making	13	13	$62.93	$60.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	73	30	$99.89	$94.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	16	$69.16	$65.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$193.75	$184.06
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	13	13	$8.17	$7.77

Medical Specialties & State Licenses

CMS Verified: 2022-08-25

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License PR 14564

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Secondary Practice Locations

369 Calle De Diego, Torre Hosp San Francisco Suite 601

San Juan, PR 009233003

Phone: 7873672602

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Alejandro Diaz , MD

Family Medicine - Adult Medicine

NPI 1336366624

Doctor of Medicine (M.D.)

Dr. Pablo Serrano Lopez , MD

General Practice

NPI 1730598004

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events

👤

Provider Name / Credentials Updated August 25, 2022

Recorded as RAFAEL RAMIREZ, MD

📍

Updated Practice Location May 12, 2022

Registered at 11924 BALM RIVERVIEW ROAD, HILLSBOROUGH, RIVERVIEW, FL 335693356 (Tel: 8137179000)

📍

Updated Business Mailing Address May 12, 2022

Registered at 11924 BALM RIVERVIEW ROAD, HILLSBOROUGH, RIVERVIEW, FL 33569 (Tel: 7874478989)

✅

NPI Profile Active May 10, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 10, 2017

Registered at 369 CALLE DE DIEGO, TORRE HOSP SAN FRANCISCO SUITE 601, SAN JUAN, PR 009233003 (Tel: 7873672602)

📍

Updated Business Mailing Address May 10, 2017

Registered at 223 SAN LORENZO STREET, RIO PIEDRAS HEIGHTS, SAN JUAN, PR 009263208 (Tel: 7874478989)

👤

Provider Name / Credentials Updated May 10, 2017

Recorded as RAFAEL RAMIREZ PEPEN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2017

Internal Medicine (License #14564 in PR)

✅

NPI Profile Active November 14, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location November 14, 2012

Registered at 369 CALLE DE DIEGO, TORRE HOSP. SAN FRANCISCO SUITE 402, SAN JUAN, PR 009233003 (Tel: 7873672602)

📍

Updated Business Mailing Address November 14, 2012

Registered at 223 SAN LORENZO STREET, RIO PIEDRAS HEIGHTS, SAN JUAN, PR 009263208 (Tel: 7877587463)

👤

Provider Name / Credentials Updated November 14, 2012

Recorded as RAFAEL RAMIREZ PEPEN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2012

Internal Medicine (License #14564 in PR)

🟢

Initial NPI Registration & Enumeration November 28, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922081512

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 28, 2005

Last Update: August 25, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

11924 Balm Riverview Road, Hillsborough

Riverview, FL 33569

Phone: 7874478989

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.