Physician
Rivera Serrano, Miriam
Rivera Serrano, Miriam was paid $3K by Medicaid between Jan 2018 and Oct 2021, across 21 billing codes. Its largest line is 96160, — 68% of everything it billed.
33Billing provider infoRIVERA SERRANO, MIRIAM
ARECIBO, PR 00612
ARECIBO, PR 00612
33aNPI1255362885assigned 07/05/2006
33bProvider typeGeneral Practice Physician
28Total paid$3K
24GClaims1,303
24DCodes billed21
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#538 of 1,195
Median peer was paid$2K
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2018 | 1,209 | $1K | |
| 2021 | 94 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96160 | 68% | 76 | 71 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 75 | 65 | $358.46 |
| 3044F | 8.0% | 80 | 57 | $259.60 | |
| 3078F | 3.7% | 87 | 59 | $119.80 | |
| 3074F | 3.7% | 87 | 60 | $119.80 | |
| 1158F | 2.4% | 54 | 41 | $79.92 | |
| 1157F | 2.3% | 84 | 59 | $75.92 | |
| 3048F | <1% | 59 | 43 | $30.00 | |
| 4040F | 0% | 44 | 32 | $0.00 | |
| 1159F | 0% | 84 | 60 | $0.00 | |
| 1160F | 0% | 84 | 59 | $0.00 | |
| 4274F | 0% | 48 | 33 | $0.00 |
9 more codes
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.