Cruz Rivera, Ramon
Cruz Rivera, Ramon was paid $20K by Medicaid between Sep 2022 and Jul 2024, across 3 billing codes. Its largest line is 99284, emergency room visit (serious) — 73% of everything it billed.
33Billing provider infoCRUZ RIVERA, RAMON
SAN JUAN, PR 00912
SAN JUAN, PR 00912
33aNPI1174837546assigned 07/28/2010
33bProvider typePersonal Emergency Response Attendant
28Total paid$20K
24GClaims307
24DCodes billed3
24AFirst – last monthSep 2022 – Jul 2024
Compared with peers
Next to other Personal Emergency Response Attendant providers in Puerto Rico
Rank by total paid#12 of 28
Median peer was paid$3K
This provider vs. median6.7×
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 | |
|---|---|---|---|
| 2022 | 279 | $18K | |
| 2023 | 16 | $831.64 | |
| 2024incomplete | 12 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 73% | 197 | 193 | $15K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 19% | 98 | 94 | $4K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 8.4% | 12 | 12 | $2K |
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.