Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › VA › Falls Church › NPI 1205879079
Physician

A Rivera Medical Services LLC

A Rivera Medical Services LLC was paid $193K by Medicaid between Jan 2018 and Aug 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 90% of everything it billed.

33Billing provider infoA RIVERA MEDICAL SERVICES LLC
FALLS CHURCH, VA 22044
33aNPI1205879079assigned 06/13/2006
28Total paid$193K
24GClaims10,096
24DCodes billed12
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers

Next to other Internal Medicine Physician providers in Virginia

Rank by total paid#98 of 478
Median peer was paid$17K
This provider vs. median12×

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
20182,088$18K
20191,644$24K
2020968$25K
20211,371$34K
20221,549$42K
20231,983$38K
2024incomplete493$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 90% 5,641 4,042 $174K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4.8% 767 575 $9K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.1% 247 156 $4K
36415 Collection of venous blood by venipuncture 1.5% 2,682 2,203 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 84 50 $2K
99000 <1% 465 379 $758.08
99050 <1% 29 24 $293.52
93000 <1% 36 30 $113.00
G2024 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source <1% 53 44 $100.40
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 17 14 $38.54
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 59 37 $0.88
91300 <1% 16 14 $0.08

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 officialRIVERA, ANTONIO (CEO)
Same official

Other billing entities under RIVERA, ANTONIO

Full network →
ProviderLocationPaid
Arivera PLLCDallas, TX$5.19M
Aqua Ingram PLLCSan Antonio, TX$4.98M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.