Rivera-Lugo, Denise

Rivera-Lugo, Denise was paid $14K by Medicaid between Nov 2023 and Dec 2024, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 69% of everything it billed.

33Billing provider infoRIVERA-LUGO, DENISE
SAN JUAN, PR 00912

33aNPI1225095961assigned 04/27/2006

33bProvider typePediatric Pulmonology Physician

28Total paid$14K

24GClaims159

24DCodes billed2

24AFirst – last monthNov 2023 – Dec 2024

Compared with peers

Next to other Pediatric Pulmonology Physician providers in Puerto Rico

Rank by total paid#8 of 12

Median peer was paid$23K

This provider vs. median0.6×

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
2023	15	$2K
2024incomplete	144	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	69%	105	86	$10K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	31%	54	54	$4K

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.