Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › Cabo Rojo › NPI 1275986101
Physician

Rivera Maldonado, Amarilis

Rivera Maldonado, Amarilis was paid $924.26 by Medicaid between Apr 2023 and Oct 2024, across 20 billing codes. Its largest line is 96160, — 68% of everything it billed.

33Billing provider infoRIVERA MALDONADO, AMARILIS
CABO ROJO, PR 00623
33aNPI1275986101assigned 07/15/2016
28Total paid$924.26
24GClaims3,689
24DCodes billed20
24AFirst – last monthApr 2023 – Oct 2024
Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#699 of 1,195
Median peer was paid$2K
This provider vs. median0.5×

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

$0$250$500$7502018201920202021202220232024
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
YearClaimsPaid
20231,471$225.00
2024incomplete2,218$699.26
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
96160 68% 26 21 $630.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 24% 46 41 $225.00
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.5% 752 724 $69.26
3078F 0% 410 397 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 0% 20 19 $0.00
3725F 0% 56 56 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 0% 36 36 $0.00
1159F 0% 135 133 $0.00
1160F 0% 136 134 $0.00
99421 0% 15 15 $0.00
3061F 0% 26 26 $0.00
3008F 0% 117 114 $0.00
8 more codes
1126F 0% 409 $0.00
3079F 0% 132 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 0% 121 $0.00
99441 0% 278 $0.00
3074F 0% 577 $0.00
1125F 0% 212 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 110 $0.00
1170F 0% 75 $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.