Physician
Rivera, Juan
Rivera, Juan was paid $998K by Medicaid between Jan 2018 and Sep 2024, across 16 billing codes. Its largest line is 11042, Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm — 32% of everything it billed.
33Billing provider infoRIVERA, JUAN
GUAYAMA, PR 00785
GUAYAMA, PR 00785
33aNPI1114923851assigned 06/27/2005
33bProvider typeGeneral Practice Physician
28Total paid$998K
24GClaims18,687
24DCodes billed16
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#10 of 1,195
Median peer was paid$2K
This provider vs. median488×
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 | 2,488 | $88K | |
| 2019 | 2,399 | $135K | |
| 2020 | 1,316 | $73K | |
| 2021 | 1,495 | $67K | |
| 2022 | 3,260 | $192K | |
| 2023 | 5,581 | $296K | |
| 2024incomplete | 2,148 | $147K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 32% | 2,868 | 587 | $322K |
| 99218 | 29% | 5,006 | 4,374 | $285K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 3,946 | 899 | $185K |
| 29581 | 9.4% | 3,310 | 571 | $93K | |
| 97597 | 7.1% | 1,606 | 504 | $71K | |
| 29058 | 1.5% | 281 | 259 | $15K | |
| 99217 | 1.4% | 519 | 483 | $13K | |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | <1% | 138 | 124 | $3K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 413 | 370 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 36 | 28 | $2K |
| 29515 | <1% | 60 | 48 | $2K | |
| 29580 | <1% | 67 | 29 | $2K |
4 more codes
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.