Rivera Valentin, Anmelys

Rivera Valentin, Anmelys was paid $154K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 79% of everything it billed.

33Billing provider infoRIVERA VALENTIN, ANMELYS
CAYEY, PR 00736

33aNPI1346549045assigned 03/21/2011

33bProvider typeNephrology Physician

28Total paid$154K

24GClaims2,066

24DCodes billed6

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Nephrology Physician providers in Puerto Rico

Rank by total paid#26 of 81

Median peer was paid$66K

This provider vs. median2.3×

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
2018	400	$23K
2019	306	$23K
2020	280	$28K
2021	112	$13K
2022	213	$26K
2023	236	$28K
2024incomplete	519	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	79%	917	852	$121K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	20%	664	505	$30K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.4%	79	28	$2K
3008F		0%	215	72	$0.00
4010F		0%	28	28	$0.00
1159F		0%	163	52	$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.