Physician
Rivera, Maria Lourdes
Rivera, Maria Lourdes was paid $762K by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoRIVERA, MARIA LOURDES
DIXON, IL 61021
DIXON, IL 61021
33aNPI1073581971assigned 03/08/2006
33bProvider typePediatrics Physician
28Total paid$762K
24GClaims15,811
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#188 of 1,805
Median peer was paid$55K
This provider vs. median14×
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 | 1,752 | $88K | |
| 2019 | 2,519 | $111K | |
| 2020 | 1,848 | $88K | |
| 2021 | 1,915 | $99K | |
| 2022 | 2,991 | $131K | |
| 2023 | 2,763 | $125K | |
| 2024incomplete | 2,023 | $121K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 28% | 3,081 | 2,728 | $217K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 3,272 | 2,939 | $152K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 17% | 1,714 | 1,518 | $128K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 14% | 1,577 | 1,286 | $105K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.3% | 662 | 604 | $48K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.7% | 452 | 404 | $35K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.5% | 1,445 | 1,289 | $26K |
| 96127 | 2.2% | 1,025 | 864 | $17K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 1.7% | 94 | 88 | $13K |
| 90670 | <1% | 789 | 679 | $7K | |
| 90723 | <1% | 397 | 314 | $2K | |
| 90647 | <1% | 365 | 281 | $2K |
16 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 103 | $2K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 35 | $1K |
| 90686 | <1% | 205 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 86 | $1K |
| D1206 | Topical application of fluoride varnish | <1% | 31 | $806.00 |
| 90734 | <1% | 101 | $722.18 | |
| 90680 | <1% | 88 | $514.95 | |
| 90633 | <1% | 101 | $505.18 | |
| 90677 | <1% | 54 | $332.80 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $286.31 |
| 92551 | <1% | 16 | $212.80 | |
| 90688 | <1% | 23 | $147.20 | |
| 90715 | <1% | 17 | $128.05 | |
| 87807 | <1% | 20 | $110.66 | |
| 90651 | <1% | 14 | $70.40 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 30 | $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.