Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Rivera, Gerhardt

Rivera, Gerhardt was paid $73K by Medicaid between Jan 2018 and Oct 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 94% of everything it billed.

33Billing provider infoRIVERA, GERHARDT
HUMACAO, PR 00791
33aNPI1205802519assigned 02/27/2006
28Total paid$73K
24GClaims2,435
24DCodes billed3
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Puerto Rico

Rank by total paid#81 of 185
Median peer was paid$53K
This provider vs. median1.4×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018379$5K
2019460$5K
2020345$10K
2021423$13K
2022285$11K
2023326$17K
2024incomplete217$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 94% 2,129 1,785 $69K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 5.1% 269 243 $4K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 37 37 $368.50

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.