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

Rivera, Louis

Rivera, Louis was paid $1K by Medicaid between Jan 2018 and May 2023, across 3 billing codes. Its largest line is 99285, emergency room visit (most serious) — 57% of everything it billed.

33Billing provider infoRIVERA, LOUIS
ONEIDA, NY 13421
33aNPI1336309582assigned 06/11/2008
28Total paid$1K
24GClaims51
24DCodes billed3
24AFirst – last monthJan 2018 – May 2023
Compared with peers

Next to other Emergency Medicine Physician providers in New York

Rank by total paid#1,633 of 2,113
Median peer was paid$5K
This provider vs. median0.3×

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

$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
201825$527.30
202114$495.53
202312$192.72
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 57% 26 26 $688.25
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 25% 12 12 $304.45
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 18% 13 13 $222.85

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.