Physician
Nieves Rivera, Erick
Nieves Rivera, Erick was paid $22K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoNIEVES RIVERA, ERICK
SAN SEBASTIAN, PR 00685
SAN SEBASTIAN, PR 00685
33aNPI1093897381assigned 10/19/2006
33bProvider typeInternal Medicine Physician
28Total paid$22K
24GClaims3,085
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Puerto Rico
Rank by total paid#211 of 518
Median peer was paid$5K
This provider vs. median4.4×
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 | 1,150 | $13K | |
| 2019 | 311 | $210.00 | |
| 2020 | 89 | $0.00 | |
| 2021 | 206 | $0.00 | |
| 2022 | 201 | $0.00 | |
| 2023 | 401 | $0.00 | |
| 2024incomplete | 727 | $8K |
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 | 47% | 165 | 126 | $10K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 18% | 71 | 13 | $4K |
| 99223 | Prolong inpt eval add15 m | 15% | 22 | 12 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 2,421 | 1,694 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | 6.0% | 24 | 13 | $1K |
| 93000 | 1.6% | 39 | 39 | $342.45 | |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | <1% | 32 | 30 | $210.00 |
| 1158F | <1% | 56 | 36 | $164.64 | |
| 1170F | 0% | 45 | 30 | $0.00 | |
| 3008F | 0% | 29 | 19 | $0.00 | |
| 3017F | 0% | 14 | 14 | $0.00 | |
| 1126F | 0% | 55 | 36 | $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.