Rivera, Carlos

Rivera, Carlos was paid $3K by Medicaid between Feb 2018 and Feb 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 90% of everything it billed.

33Billing provider infoRIVERA, CARLOS
MIAMI, FL 33144

33aNPI1356459630assigned 08/28/2006

33bProvider typeEndocrinology, Diabetes & Metabolism Physician

28Total paid$3K

24GClaims1,806

24DCodes billed5

24AFirst – last monthFeb 2018 – Feb 2024

Compared with peers

Next to other Endocrinology, Diabetes & Metabolism Physician providers in Florida

Rank by total paid#49 of 72

Median peer was paid$12K

This provider vs. median0.2×

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	290	$175.76
2019	242	$232.70
2020	209	$567.88
2021	526	$652.34
2022	355	$648.04
2023	145	$206.96
2024incomplete	39	$124.27

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	90%	1,140	826	$2K
82962		5.2%	418	279	$135.51
99223	Prolong inpt eval add15 m	4.9%	25	25	$126.94
36415	Collection of venous blood by venipuncture	<1%	205	135	$5.06
99309	Subsequent nursing facility care, per day, low to moderate complexity	0%	18	14	$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.