Rivera Vega, Carol

Rivera Vega, Carol was paid $444K by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.

33Billing provider infoRIVERA VEGA, CAROL
PONCE, PR 00716

33aNPI1285890822assigned 08/04/2008

33bProvider typeSurgery Physician

28Total paid$444K

24GClaims8,621

24DCodes billed25

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Surgery Physician providers in Puerto Rico

Rank by total paid#4 of 111

Median peer was paid$28K

This provider vs. median16×

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	1,276	$24K
2019	794	$18K
2020	484	$22K
2021	1,618	$91K
2022	1,446	$86K
2023	2,219	$153K
2024incomplete	784	$51K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	37%	2,419	2,096	$162K
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	13%	469	246	$59K
76818		9.8%	560	281	$44K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	9.0%	519	438	$40K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	6.6%	1,019	870	$30K
99070		6.2%	1,349	1,182	$28K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	3.5%	286	79	$16K
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	2.5%	427	401	$11K
99418	Prolong nursin fac eval 15m	2.2%	168	29	$10K
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	2.2%	446	420	$10K
99223	Prolong inpt eval add15 m	1.4%	44	27	$6K
99357		1.3%	91	29	$6K

13 more codes

99356		1.3%	91	$6K
99213	Doctor's office visit, returning patient (routine)	<1%	208	$3K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	<1%	47	$3K
99242		<1%	63	$3K
99385		<1%	110	$3K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	82	$3K
59025	Fetal non-stress test	<1%	114	$1K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	16	$1K
76820		<1%	14	$484.24
99204	Doctor's office visit, new patient (more involved)	<1%	16	$345.00
99238	Hospital discharge day management, 30 minutes or less	<1%	13	$153.15
99221		<1%	13	$140.00
87081		<1%	37	$128.93

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.