Rivera Irizarry, Jose

Rivera Irizarry, Jose was paid $88K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99234, — 43% of everything it billed.

33Billing provider infoRIVERA IRIZARRY, JOSE
GUAYAMA, PR 00784

33aNPI1245238856assigned 07/08/2005

33bProvider typeGeneral Practice Physician

28Total paid$88K

24GClaims2,781

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#194 of 1,195

Median peer was paid$2K

This provider vs. median43×

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	794	$23K
2019	466	$20K
2020	220	$16K
2021	242	$27K
2022	193	$178.37
2023	485	$415.56
2024incomplete	381	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99234		43%	471	463	$38K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	40%	1,087	1,065	$35K
99235		12%	81	81	$10K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	4.5%	49	49	$4K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	657	530	$593.93
3078F		0%	37	37	$0.00
1158F		0%	121	103	$0.00
3074F		0%	28	28	$0.00
3008F		0%	121	103	$0.00
1170F		0%	129	109	$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.