Physician
Rios, Sandra
Rios, Sandra was paid $777.47 by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is 96160, — 58% of everything it billed.
33Billing provider infoRIOS, SANDRA
VEGA ALTA, PR 00692
VEGA ALTA, PR 00692
33aNPI1285619437assigned 12/09/2005
33bProvider typeFamily Medicine Physician
28Total paid$777.47
24GClaims5,809
24DCodes billed3
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Puerto Rico
Rank by total paid#84 of 160
Median peer was paid$1K
This provider vs. median0.7×
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 | 1,483 | $0.01 | |
| 2019 | 900 | $0.00 | |
| 2020 | 587 | $78.74 | |
| 2021 | 1,005 | $0.00 | |
| 2022 | 791 | $32.47 | |
| 2023 | 465 | $396.25 | |
| 2024incomplete | 578 | $270.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96160 | 58% | 68 | 61 | $450.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 32% | 5,527 | 4,677 | $248.73 |
| 99441 | 10% | 214 | 203 | $78.74 |
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.