Physician
Rivera, Carmina Ramona
Rivera, Carmina Ramona was paid $375K by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 74% of everything it billed.
33Billing provider infoRIVERA, CARMINA RAMONA
JAMAICA, NY 11432
JAMAICA, NY 11432
33aNPI1124277793assigned 09/18/2008
33bProvider typePediatrics Physician
28Total paid$375K
24GClaims10,008
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#475 of 1,983
Median peer was paid$17K
This provider vs. median22×
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 | 627 | $26K | |
| 2019 | 1,013 | $38K | |
| 2020 | 1,157 | $35K | |
| 2021 | 1,175 | $48K | |
| 2022 | 1,637 | $71K | |
| 2023 | 1,606 | $73K | |
| 2024incomplete | 2,793 | $83K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 74% | 3,583 | 3,168 | $279K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 1,281 | 1,273 | $42K |
| 92552 | 7.2% | 803 | 803 | $27K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 96 | 96 | $5K |
| 96127 | 1.0% | 766 | 765 | $4K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 80 | 78 | $3K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 99 | 96 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 32 | 32 | $3K |
| 99173 | <1% | 784 | 784 | $2K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 275 | 260 | $2K |
| 87634 | <1% | 35 | 33 | $2K | |
| 99429 | <1% | 92 | 89 | $1K |
13 more codes
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 12 | $934.50 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | $440.00 |
| 96160 | <1% | 42 | $105.71 | |
| 90686 | <1% | 460 | $81.62 | |
| 90656 | <1% | 77 | $19.77 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 670 | $5.90 |
| 3074F | 0% | 158 | $0.00 | |
| 3008F | 0% | 380 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 77 | $0.00 |
| 90674 | 0% | 18 | $0.00 | |
| 3078F | 0% | 151 | $0.00 | |
| 90734 | 0% | 13 | $0.00 | |
| 90670 | 0% | 12 | $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.