Rivera, Edgardo

Rivera, Edgardo was paid $175K by Medicaid between Jul 2020 and Oct 2024, across 5 billing codes. Its largest line is 76830, Ultrasound, transvaginal — 44% of everything it billed.

33Billing provider infoRIVERA, EDGARDO
SAN JUAN, PR 00907

33aNPI1306890157assigned 05/19/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$175K

24GClaims2,724

24DCodes billed5

24AFirst – last monthJul 2020 – Oct 2024

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Puerto Rico

Rank by total paid#41 of 185

Median peer was paid$53K

This provider vs. median3.3×

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
2020	342	$26K
2021	537	$29K
2022	582	$34K
2023	830	$55K
2024incomplete	433	$32K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
76830	Ultrasound, transvaginal	44%	920	853	$78K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	25%	766	701	$44K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	18%	449	415	$32K
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	7.9%	576	552	$14K
58558		4.4%	13	12	$8K

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.