Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Rivera, Silena

Rivera, Silena was paid $148K by Medicaid between May 2020 and Oct 2024, across 14 billing codes. Its largest line is 92285, — 26% of everything it billed.

33Billing provider infoRIVERA, SILENA
STATEN ISLAND, NY 10306
33aNPI1053827543assigned 12/19/2017
33bProvider typeOptometrist
28Total paid$148K
24GClaims3,686
24DCodes billed14
24AFirst – last monthMay 2020 – Oct 2024
Compared with peers

Next to other Optometrist providers in New York

Rank by total paid#456 of 1,605
Median peer was paid$29K
This provider vs. median5.1×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
2020123$5K
2021827$26K
20221,188$50K
2023797$34K
2024incomplete751$33K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92285 26% 560 557 $39K
92286 22% 486 481 $33K
92250 18% 632 629 $26K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 14% 1,042 699 $20K
92083 13% 422 417 $19K
V2020 Frames, purchases 2.5% 219 216 $4K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 1.7% 111 104 $2K
92002 1.3% 73 72 $2K
68801 <1% 31 25 $1K
92025 <1% 57 57 $1K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 12 12 $300.00
76512 <1% 12 12 $279.60
2 more codes
V2750 Anti-reflective coating, per lens 0% 12 $0.00
92015 Determination of refractive state 0% 17 $0.00

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.