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

Rivera, Raul

Rivera, Raul was paid $3K by Medicaid between Nov 2020 and Mar 2023, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 93% of everything it billed.

33Billing provider infoRIVERA, RAUL
PASADENA, TX 77504
33aNPI1205853843assigned 07/17/2006
28Total paid$3K
24GClaims440
24DCodes billed5
24AFirst – last monthNov 2020 – Mar 2023
Compared with peers

Next to other Internal Medicine Physician providers in Texas

Rank by total paid#688 of 1,028
Median peer was paid$10K
This provider vs. median0.3×

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$250$500$7502018201920202021202220232024
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
202033$723.66
2021205$643.54
2022159$1K
202343$428.59
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 93% 72 64 $3K
99000 4.0% 15 13 $118.80
82948 3.3% 313 264 $97.29
3008F 0% 20 16 $0.00
2000F 0% 20 16 $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.