Lugo Rivera, Luis

Lugo Rivera, Luis was paid $1.03M by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 67% of everything it billed.

33Billing provider infoLUGO RIVERA, LUIS
GUAYAMA, PR 00785

33aNPI1346586658assigned 12/14/2012

33bProvider typeGeneral Practice Physician

28Total paid$1.03M

24GClaims9,281

24DCodes billed14

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#8 of 1,195

Median peer was paid$2K

This provider vs. median504×

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	354	$10K
2019	195	$2K
2020	369	$35K
2021	1,150	$161K
2022	1,516	$192K
2023	1,717	$171K
2024incomplete	3,980	$460K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	67%	4,726	3,913	$688K
99236	Prolong inpt eval add15 m	24%	1,607	1,008	$252K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	2.3%	297	99	$23K
99219		1.3%	146	144	$13K
93227		1.1%	161	94	$11K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	1,179	778	$10K
99234		<1%	236	186	$8K
99218		<1%	200	195	$7K
96360	Intravenous infusion, hydration; initial, 31 minutes to 1 hour	<1%	194	162	$5K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	<1%	194	153	$4K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	<1%	214	184	$4K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	58	24	$3K

2 more codes

96361	Intravenous infusion, hydration; each additional hour	<1%	55	$760.60
99238	Hospital discharge day management, 30 minutes or less	<1%	14	$757.40

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.