Physician
Rivera, Jorge
Rivera, Jorge was paid $861K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 63% of everything it billed.
33Billing provider infoRIVERA, JORGE
MAYAGUEZ, PR 00680
MAYAGUEZ, PR 00680
33aNPI1023282795assigned 04/14/2008
33bProvider typeOphthalmology Physician
28Total paid$861K
24GClaims25,934
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Puerto Rico
Rank by total paid#22 of 141
Median peer was paid$163K
This provider vs. median5.3×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,708 | $116K | |
| 2019 | 4,541 | $124K | |
| 2020 | 3,007 | $93K | |
| 2021 | 3,923 | $139K | |
| 2022 | 3,714 | $130K | |
| 2023 | 2,467 | $120K | |
| 2024incomplete | 2,574 | $140K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 63% | 8,538 | 7,798 | $546K |
| 92002 | 5.7% | 1,258 | 1,063 | $49K | |
| 92250 | 5.1% | 3,195 | 2,898 | $44K | |
| 92015 | Determination of refractive state | 4.6% | 1,862 | 1,634 | $39K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 4.4% | 54 | 41 | $38K |
| 92083 | 3.5% | 1,569 | 1,444 | $30K | |
| 92133 | 3.4% | 2,435 | 2,198 | $29K | |
| 92202 | 3.4% | 1,800 | 1,645 | $29K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.9% | 187 | 177 | $25K |
| 92225 | 1.4% | 1,178 | 459 | $12K | |
| 92020 | 1.0% | 981 | 823 | $9K | |
| 92226 | <1% | 1,777 | 795 | $8K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.