Matta Rivera, Miguel

Matta Rivera, Miguel was paid $440K by Medicaid between Jul 2021 and Dec 2024, across 6 billing codes. Its largest line is 99284, emergency room visit (serious) — 44% of everything it billed.

33Billing provider infoMATTA RIVERA, MIGUEL
HUMACAO, PR 00791

33aNPI1295301505assigned 05/28/2021

33bProvider typeGeneral Practice Physician

28Total paid$440K

24GClaims4,546

24DCodes billed6

24AFirst – last monthJul 2021 – Dec 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#55 of 1,195

Median peer was paid$2K

This provider vs. median215×

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
2021	372	$32K
2022	522	$60K
2023	950	$88K
2024incomplete	2,702	$260K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	44%	2,430	1,313	$192K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	37%	1,313	918	$163K
99235		17%	581	452	$76K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	1.5%	145	140	$7K
99234		<1%	15	13	$1K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	62	53	$544.15

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.