Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › Barceloneta › NPI 1215992276

Rivera Jimenez, Waldemar

Rivera Jimenez, Waldemar was paid $4K by Medicaid between May 2018 and Jun 2020, across 17 billing codes. Its largest line is 96160, — 99% of everything it billed.

33Billing provider infoRIVERA JIMENEZ, WALDEMAR
BARCELONETA, PR 00617
33aNPI1215992276assigned 04/20/2006
33bProvider typeSpecialist
28Total paid$4K
24GClaims699
24DCodes billed17
24AFirst – last monthMay 2018 – Jun 2020
Compared with peers

Next to other Specialist providers in Puerto Rico

Rank by total paid#202 of 316
Median peer was paid$26K
This provider vs. median0.2×

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

$0$1.0K$2.0K2018201920202021202220232024
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
2018117$34.00
2019343$990.00
2020239$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
96160 99% 160 158 $4K
1157F <1% 39 38 $24.00
3074F <1% 45 44 $10.00
1159F 0% 34 33 $0.00
3050F 0% 21 20 $0.00
3051F 0% 19 18 $0.00
1175F 0% 26 25 $0.00
3078F 0% 29 28 $0.00
99441 0% 119 119 $0.00
1022F 0% 35 34 $0.00
1030F 0% 34 32 $0.00
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 0% 13 13 $0.00
5 more codes
1170F 0% 43 $0.00
3061F 0% 17 $0.00
3008F 0% 17 $0.00
1126F 0% 27 $0.00
3017F 0% 21 $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.