Rivera, Pedro

Rivera, Pedro was paid $243K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is 99283, emergency room visit (moderate) — 61% of everything it billed.

33Billing provider infoRIVERA, PEDRO
RIO PIEDRAS, PR 00925

33aNPI1184830879assigned 05/16/2007

33bProvider typeGeneral Practice Physician

28Total paid$243K

24GClaims4,416

24DCodes billed4

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#93 of 1,195

Median peer was paid$2K

This provider vs. median119×

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	574	$35K
2019	587	$34K
2020	476	$30K
2021	623	$28K
2022	597	$27K
2023	778	$40K
2024incomplete	781	$48K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	61%	2,958	2,493	$148K
99218		38%	1,362	1,215	$93K
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	83	82	$711.20
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	13	13	$100.23

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.