Physician
Santos Rivera, Hector
Santos Rivera, Hector was paid $51K by Medicaid between Jan 2018 and Oct 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 95% of everything it billed.
33Billing provider infoSANTOS RIVERA, HECTOR
CAYEY, PR 00736
CAYEY, PR 00736
33aNPI1336183532assigned 06/16/2006
33bProvider typeInternal Medicine Physician
28Total paid$51K
24GClaims4,904
24DCodes billed13
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in Puerto Rico
Rank by total paid#163 of 518
Median peer was paid$5K
This provider vs. median10×
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 | |
|---|---|---|---|
| 2018 | 1,040 | $398.00 | |
| 2019 | 147 | $0.00 | |
| 2020 | 430 | $909.07 | |
| 2021 | 617 | $21K | |
| 2022 | 819 | $27K | |
| 2023 | 1,306 | $1K | |
| 2024incomplete | 545 | $69.26 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 95% | 2,399 | 2,203 | $48K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.8% | 414 | 349 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 12 | 12 | $840.80 |
| 3078F | <1% | 113 | 101 | $260.00 | |
| 3075F | <1% | 73 | 65 | $138.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 480 | 361 | $58.23 |
| 3008F | 0% | 294 | 272 | $0.00 | |
| 1126F | 0% | 93 | 84 | $0.00 | |
| 1125F | 0% | 62 | 57 | $0.00 | |
| 1170F | 0% | 48 | 44 | $0.00 | |
| 1160F | 0% | 450 | 409 | $0.00 | |
| 1159F | 0% | 449 | 408 | $0.00 |
1 more codes
| 99446 | 0% | 17 | $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.