Physician
Rivera, Manuel
Rivera, Manuel was paid $1K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99283, emergency room visit (moderate) — 46% of everything it billed.
33Billing provider infoRIVERA, MANUEL
CAGUAS, PR 00725
CAGUAS, PR 00725
33aNPI1386616258assigned 02/06/2006
33bProvider typeGeneral Practice Physician
28Total paid$1K
24GClaims4,678
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#685 of 1,195
Median peer was paid$2K
This provider vs. median0.5×
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 | 45 | $462.06 | |
| 2019 | 19 | $0.00 | |
| 2020 | 107 | $0.00 | |
| 2021 | 616 | $129.12 | |
| 2022 | 873 | $0.00 | |
| 2023 | 1,245 | $417.77 | |
| 2024incomplete | 1,773 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 46% | 45 | 42 | $462.06 |
| 99348 | 37% | 567 | 521 | $374.52 | |
| 99334 | 13% | 529 | 506 | $129.12 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.3% | 532 | 471 | $43.25 |
| 4040F | 0% | 894 | 819 | $0.00 | |
| 3078F | 0% | 17 | 14 | $0.00 | |
| 1159F | 0% | 75 | 69 | $0.00 | |
| 1158F | 0% | 914 | 839 | $0.00 | |
| 1160F | 0% | 75 | 69 | $0.00 | |
| 4037F | 0% | 894 | 821 | $0.00 | |
| 1126F | 0% | 17 | 14 | $0.00 | |
| 2000F | 0% | 17 | 14 | $0.00 |
6 more codes
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.