Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ESTEBAN J DIAZ RIVERA MD PA

NPI: 1184057275 · HIALEAH, FL 33013 · Nephrology Physician · NPI assigned 08/13/2013

$33K
Total Medicaid Paid
7,849
Total Claims
4,499
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDIAZ-RIVERA, ESTEBAN (OWNER)
NPI Enumeration Date08/13/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,018 $736.03
2019 2,177 $17K
2020 1,182 $9K
2021 1,270 $4K
2022 1,908 $788.03
2023 49 $714.05
2024 245 $979.41

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 377 228 $16K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,963 1,160 $9K
90961 144 100 $4K
99222 Initial hospital care, per day, moderate complexity 188 133 $3K
99232 Subsequent hospital care, per day, moderate complexity 393 155 $317.88
99233 Prolong inpt eval add15 m 631 210 $291.19
99231 Subsequent hospital care, per day, straightforward or low complexity 193 87 $50.82
0518F 331 266 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 120 102 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 990 647 $0.00
3288F 21 20 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 250 81 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 35 25 $0.00
G8598 Aspirin or another antiplatelet therapy used 14 13 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 742 436 $0.00
1036F 597 323 $0.00
1101F 730 414 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 117 87 $0.00
3044F 13 12 $0.00