Rivera Orthopedics and Sports Medicine

Rivera Orthopedics and Sports Medicine was paid $84K by Medicaid between Jan 2018 and Jan 2023, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.

33Billing provider infoRIVERA ORTHOPEDICS AND SPORTS MEDICINE
SAN JUAN, PR 00912

33aNPI1417273145assigned 04/20/2010

33bProvider typeSports Medicine (Orthopaedic Surgery) Physician

28Total paid$84K

24GClaims3,014

24DCodes billed7

24AFirst – last monthJan 2018 – Jan 2023

Compared with peers

Next to other Sports Medicine (Orthopaedic Surgery) Physician providers in Puerto Rico

Rank by total paid#4 of 13

Median peer was paid$20K

This provider vs. median4.2×

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	957	$14K
2019	703	$8K
2020	650	$18K
2021	505	$32K
2022	66	$4K
2023	133	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	26%	1,380	1,266	$22K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	17%	410	312	$14K
29826		16%	22	13	$14K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	16%	594	412	$14K
20902		14%	45	30	$12K
99241		9.5%	549	523	$8K
73562		<1%	14	14	$81.20

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, ALBERTO (PRESIDENT)