Rivera Colon Surgical Services, PSC

Rivera Colon Surgical Services, PSC was paid $48K by Medicaid between Jan 2018 and Jul 2024, across 5 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 28% of everything it billed.

33Billing provider infoRIVERA COLON SURGICAL SERVICES, PSC
ARECIBO, PR 00613

33aNPI1356721294assigned 06/05/2015

33bProvider typeSurgery Physician

28Total paid$48K

24GClaims571

24DCodes billed5

24AFirst – last monthJan 2018 – Jul 2024

Compared with peers

Next to other Surgery Physician providers in Puerto Rico

Rank by total paid#47 of 111

Median peer was paid$28K

This provider vs. median1.7×

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	125	$12K
2019	19	$457.50
2020	30	$2K
2021	79	$5K
2022	126	$9K
2023	27	$3K
2024incomplete	165	$18K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	28%	92	66	$14K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	24%	208	194	$11K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	23%	158	158	$11K
47562		18%	12	12	$8K
99253		7.1%	101	95	$3K

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.

From NPPES

Who's on the registration

Authorized officialRIVERA COLON, GUILLERMO (PRESIDENT)