Clinic
Roberto J Sein & Rafael M Rivera PTR
Roberto J Sein & Rafael M Rivera PTR was paid $152K by Medicaid between Feb 2018 and Nov 2024, across 6 billing codes. Its largest line is 76881, — 35% of everything it billed.
33Billing provider infoROBERTO J SEIN & RAFAEL M RIVERA PTR
RIO PIEDRAS, PR 00926
RIO PIEDRAS, PR 00926
33aNPI1336202753assigned 12/18/2006
33bProvider typeMammography Clinic/Center
28Total paid$152K
24GClaims1,931
24DCodes billed6
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Mammography Clinic/Center providers in Puerto Rico
Rank by total paid#13 of 19
Median peer was paid$350K
This provider vs. median0.4×
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 | 91 | $4K | |
| 2019 | 31 | $1K | |
| 2020 | 77 | $0.00 | |
| 2022 | 101 | $8K | |
| 2023 | 538 | $57K | |
| 2024incomplete | 1,093 | $82K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76881 | 35% | 910 | 503 | $54K | |
| 76641 | 32% | 491 | 278 | $48K | |
| 77066 | Tomosynthesis, mammo | 20% | 210 | 126 | $31K |
| 76830 | Ultrasound, transvaginal | 6.9% | 157 | 74 | $10K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 3.6% | 59 | 59 | $5K |
| 76770 | 1.8% | 104 | 16 | $3K |
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.
From NPPES
Who's on the registration
Authorized officialSEIN, ROBERTO (PRESIDENT)