Wilfredo Rivera, M.D., P.C.

Wilfredo Rivera, M.D., P.C. was paid $206K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 41% of everything it billed.

33Billing provider infoWILFREDO RIVERA, M.D., P.C.
FLINT, MI 48532

33aNPI1225244619assigned 05/15/2007

33bProvider typeCardiovascular Disease Physician

28Total paid$206K

24GClaims3,739

24DCodes billed12

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Cardiovascular Disease Physician providers in Michigan

Rank by total paid#55 of 134

Median peer was paid$91K

This provider vs. median2.3×

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

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	806	$53K
2019	540	$30K
2020	313	$14K
2021	528	$24K
2022	372	$16K
2023	543	$29K
2024incomplete	637	$40K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	41%	1,267	1,242	$84K
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	19%	661	654	$38K
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	11%	137	131	$23K
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	8.3%	148	142	$17K
99222	Initial hospital care, per day, moderate complexity	6.4%	191	184	$13K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.4%	178	177	$7K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	3.2%	138	30	$7K
93015		3.1%	241	232	$6K
93000		2.6%	707	704	$5K
J2785	Injection, regadenoson, 0.1 mg	2.2%	37	37	$5K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	13	13	$776.25
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	21	17	$99.23

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, WILFREDO (PHYSICIAN/OWNER)