Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Rivera Negron, Jose

Rivera Negron, Jose was paid $128K by Medicaid between Dec 2019 and Oct 2024, across 5 billing codes. Its largest line is 92002, — 53% of everything it billed.

33Billing provider infoRIVERA NEGRON, JOSE
SAN JUAN, PR 00907
33aNPI1386651883assigned 08/01/2006
33bProvider typeOptometrist
28Total paid$128K
24GClaims3,850
24DCodes billed5
24AFirst – last monthDec 2019 – Oct 2024
Compared with peers

Next to other Optometrist providers in Puerto Rico

Rank by total paid#83 of 299
Median peer was paid$40K
This provider vs. median3.2×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
201938$1K
2020498$18K
2021828$23K
2022782$26K
2023668$27K
2024incomplete1,036$33K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92002 53% 1,292 1,173 $67K
92250 24% 1,135 1,018 $31K
92015 Determination of refractive state 21% 1,384 1,255 $27K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1.5% 27 20 $2K
92060 <1% 12 12 $502.61

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.