Physician
Rivera Baez, Patricia
Rivera Baez, Patricia was paid $269K by Medicaid between Jan 2019 and Dec 2024, across 6 billing codes. Its largest line is 99285, emergency room visit (most serious) — 50% of everything it billed.
33Billing provider infoRIVERA BAEZ, PATRICIA
CIDRA, PR 00739
CIDRA, PR 00739
33aNPI1295212488assigned 07/20/2018
33bProvider typeGeneral Practice Physician
28Total paid$269K
24GClaims2,913
24DCodes billed6
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#85 of 1,195
Median peer was paid$2K
This provider vs. median132×
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 | |
|---|---|---|---|
| 2019 | 383 | $6K | |
| 2020 | 35 | $505.00 | |
| 2021 | 134 | $11K | |
| 2022 | 751 | $58K | |
| 2023 | 514 | $53K | |
| 2024incomplete | 1,096 | $141K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 50% | 994 | 638 | $134K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 33% | 1,030 | 781 | $88K |
| 99236 | Prolong inpt eval add15 m | 14% | 295 | 290 | $38K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 2.1% | 398 | 384 | $6K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 176 | 157 | $2K |
| 99218 | <1% | 20 | 19 | $1K |
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.