Physician
Esteban J Diaz Rivera MD PA
Esteban J Diaz Rivera MD PA was paid $33K by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 50% of everything it billed.
33Billing provider infoESTEBAN J DIAZ RIVERA MD PA
HIALEAH, FL 33013
HIALEAH, FL 33013
33aNPI1184057275assigned 08/13/2013
33bProvider typeNephrology Physician
28Total paid$33K
24GClaims7,849
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in Florida
Rank by total paid#89 of 188
Median peer was paid$28K
This provider vs. median1.2×
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 | 1,018 | $736.03 | |
| 2019 | 2,177 | $17K | |
| 2020 | 1,182 | $9K | |
| 2021 | 1,270 | $4K | |
| 2022 | 1,908 | $788.03 | |
| 2023 | 49 | $714.05 | |
| 2024incomplete | 245 | $979.41 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 50% | 377 | 228 | $16K |
| 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 | 29% | 1,963 | 1,160 | $9K |
| 90961 | 12% | 144 | 100 | $4K | |
| 99222 | Initial hospital care, per day, moderate complexity | 7.9% | 188 | 133 | $3K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 393 | 155 | $317.88 |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 631 | 210 | $291.19 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 193 | 87 | $50.82 |
| 0518F | 0% | 331 | 266 | $0.00 | |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 120 | 102 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 990 | 647 | $0.00 |
| 3288F | 0% | 21 | 20 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 250 | 81 | $0.00 |
7 more codes
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 35 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 14 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 742 | $0.00 |
| 1036F | 0% | 597 | $0.00 | |
| 1101F | 0% | 730 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 117 | $0.00 |
| 3044F | 0% | 13 | $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.
From NPPES
Who's on the registration
Authorized officialDIAZ-RIVERA, ESTEBAN (OWNER)