Rios, Luis

Rios, Luis was paid $76K by Medicaid between Jan 2018 and Apr 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.

33Billing provider infoRIOS, LUIS
SAN JUAN, PR 00910

33aNPI1346206182assigned 04/21/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$76K

24GClaims1,674

24DCodes billed3

24AFirst – last monthJan 2018 – Apr 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Puerto Rico

Rank by total paid#39 of 61

Median peer was paid$122K

This provider vs. median0.6×

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	456	$9K
2019	49	$1K
2020	305	$14K
2021	431	$23K
2022	256	$14K
2023	150	$12K
2024incomplete	27	$2K

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	58%	1,045	950	$43K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	40%	548	530	$30K
73560		2.5%	81	79	$2K

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.