Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › Cidra › NPI 1295212488
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
33aNPI1295212488assigned 07/20/2018
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

$0$20K$40K$60K2018201920202021202220232024
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
2019383$6K
202035$505.00
2021134$11K
2022751$58K
2023514$53K
2024incomplete1,096$141K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.