Rivera, Jose

Rivera, Jose was paid $21K by Medicaid between Feb 2018 and Sep 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.

33Billing provider infoRIVERA, JOSE
ARECIBO, PR 00612

33aNPI1225144868assigned 08/23/2006

33bProvider typeCardiovascular Disease Physician

28Total paid$21K

24GClaims544

24DCodes billed4

24AFirst – last monthFeb 2018 – Sep 2024

Compared with peers

Next to other Cardiovascular Disease Physician providers in Puerto Rico

Rank by total paid#124 of 174

Median peer was paid$109K

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

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
2018	308	$12K
2021	45	$3K
2022	25	$892.13
2023	79	$3K
2024incomplete	87	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	56%	215	209	$12K
93000		18%	268	257	$4K
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	15%	46	39	$3K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	11%	15	15	$2K

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.