Internal Medicine, Pulmonary Disease · San Juan, PR
NPI
1063472983
Since 2006
Specialty
Internal Medicine, Pulmonary Disease
Code 207RP1001X
Group practices
1
Medicare group memberships
Hospitals
0
Hospital affiliations
400 Ave Domenech Ste 210
San Juan, PR, 00918
Phone (787) 759-3033
Groups this clinician bills Medicare through
Medicare paid, 2024
$2,710
49 services
Medicare patients, 2024
19
Average age 75
Drug cost, 2024
$323K
1,352 prescriptions
Company payments, 2025
$196
From 3 companies
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by Rafael E Franjul Juliao was code 99213 (office e&m - established), 14 times for 13 patients. In total Rafael E Franjul Juliao billed 49 services in 7 codes, and Medicare paid $2,710.
| Code |
|---|
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2019-03-12.
| Setting |
|---|
| Services |
|---|
| Patients |
|---|
| Paid per service |
|---|
| Medicare paid |
|---|
| 99213 Office E&M - Established | Office | 14 | 13 | $70.53 | $987 |
| 94060 Pulmonary Function Testing | Office | 13 | 13 | $28.02 | $364 |
By year: 2022 $3,485 for 52 services; 2023 $2,394 for 37 services; 2024 $2,710 for 49 services.
Medicare prescription drug claims, 2024
In 2024, the drug Rafael E Franjul Juliao prescribed most often to Medicare patients was Fluticasone Propionate, with 258 prescriptions and refills. In total Rafael E Franjul Juliao wrote 1,352 Medicare prescriptions that cost $323K.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Fluticasone Propionate Generic | 258 | 448 | 165 | $5,117 |
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 222 | 227 | 51 | $150K |
| Budesonide-Formoterol Fumarate Budesonide/Formoterol Fumarate | 191 | 214 | 62 | $48K |
| Prednisolone Sodium Phosphate Generic | 133 | 133 | 92 | $3,669 |
| Symbicort Budesonide/Formoterol Fumarate | 59 | 70 | 22 | $15K |
| Levalbuterol Tartrate Hfa Levalbuterol Tartrate | 57 | 92 | 30 | $3,239 |
| Fluticasone-Salmeterol Fluticasone Propion/Salmeterol | 53 | 55 | 21 | $7,044 |
| Breo Ellipta Fluticasone/Vilanterol | 49 | 49 | 19 | $20K |
| Wixela Inhub Fluticasone Propion/Salmeterol | 46 | 52 | 14 | $8,112 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 30 | 33 | 14 | $1,243 |
| Fluticasone Propionate Hfa Fluticasone Propionate | 29 | 42 | 12 | $6,560 |
| Advair Hfa Fluticasone Propion/Salmeterol | 21 | 21 | Under 11 | $7,641 |
| Montelukast Sodium Generic | 18 | 24 | Under 11 | $180 |
| Atrovent Hfa Ipratropium Bromide | 18 | 34 | 11 | $8,520 |
| Prednisolone Generic | 18 | 18 | 18 | $1,140 |
Brand drugs: 777 claims; generic drugs: 575 claims.
Money and other things of value reported by the companies
In 2025, drug and medical device companies paid Rafael E Franjul Juliao $196 ($196 in general payments such as food, travel and fees) from 3 companies. The largest payer was AstraZeneca Pharmaceuticals LP with $119.
Official US government data on Original Medicare services, Medicare prescription drug plans and the payments drug and device companies must report. Services with fewer than 11 patients and drugs with fewer than 11 claims are not published. Procedure codes are shown by number with their public category.