Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Cortes Rivera, Cosmarie

Cortes Rivera, Cosmarie was paid $2K by Medicaid between Jan 2018 and Oct 2024, across 25 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 66% of everything it billed.

33Billing provider infoCORTES RIVERA, COSMARIE
ANASCO, PR 00610
33aNPI1295971646assigned 01/06/2009
28Total paid$2K
24GClaims23,563
24DCodes billed25
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#609 of 1,195
Median peer was paid$2K
This provider vs. median0.9×

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$200$400$6002018201920202021202220232024
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
20183,834$309.66
20192,897$0.00
20203,502$18.00
20216,951$1K
2022629$0.00
20234,943$537.54
2024incomplete807$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 66% 65 64 $1K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33% 3,295 2,862 $638.21
99441 <1% 17 16 $18.00
1158F <1% 1,729 1,423 $1.98
1160F 0% 2,828 2,450 $0.00
1159F 0% 3,134 2,651 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 0% 153 143 $0.00
0521F 0% 82 80 $0.00
3078F 0% 403 378 $0.00
1170F 0% 2,295 2,014 $0.00
3017F 0% 1,280 1,039 $0.00
3008F 0% 3,220 2,720 $0.00
13 more codes
3014F 0% 559 $0.00
3048F 0% 341 $0.00
99386 0% 40 $0.00
1030F 0% 2,234 $0.00
3061F 0% 564 $0.00
1126F 0% 469 $0.00
3044F 0% 117 $0.00
1125F 0% 43 $0.00
3074F 0% 450 $0.00
99385 0% 42 $0.00
3079F 0% 133 $0.00
3075F 0% 51 $0.00
3049F 0% 19 $0.00

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.