Physician
Rivera Ramos, Cristobal
Rivera Ramos, Cristobal was paid $20K by Medicaid between Apr 2018 and Dec 2019, across 5 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 74% of everything it billed.
33Billing provider infoRIVERA RAMOS, CRISTOBAL
SANTA ISABEL, PR 00757
SANTA ISABEL, PR 00757
33aNPI1235411463assigned 09/14/2011
33bProvider typeInternal Medicine Physician
28Total paid$20K
24GClaims377
24DCodes billed5
24AFirst – last monthApr 2018 – Dec 2019
Compared with peers
Next to other Internal Medicine Physician providers in Puerto Rico
Rank by total paid#216 of 518
Median peer was paid$5K
This provider vs. median3.9×
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 | 52 | $2K | |
| 2019 | 325 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 74% | 147 | 94 | $15K |
| 99254 | 11% | 52 | 50 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 7.3% | 102 | 85 | $1K |
| 99223 | Prolong inpt eval add15 m | 5.0% | 40 | 32 | $982.87 |
| 99222 | Initial hospital care, per day, moderate complexity | 2.8% | 36 | 31 | $542.55 |
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.