Physician
Rivera, Tomas
Rivera, Tomas was paid $199.55 by Medicaid between Jan 2018 and Oct 2018, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider infoRIVERA, TOMAS
AGUADA, PR 00602
AGUADA, PR 00602
33aNPI1417927237assigned 01/24/2006
33bProvider typeFamily Medicine Physician
28Total paid$199.55
24GClaims3,844
24DCodes billed24
24AFirst – last monthJan 2018 – Oct 2018
Compared with peers
Next to other Family Medicine Physician providers in Puerto Rico
Rank by total paid#100 of 160
Median peer was paid$1K
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 | 3,844 | $199.55 |
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 | 60% | 659 | 530 | $119.48 |
| 1157F | 14% | 167 | 165 | $28.03 | |
| 3075F | 12% | 261 | 224 | $24.00 | |
| 3079F | 9.0% | 135 | 123 | $18.00 | |
| 3048F | 5.0% | 17 | 17 | $10.00 | |
| 3078F | <1% | 285 | 239 | $0.02 | |
| 3074F | <1% | 176 | 155 | $0.02 | |
| 1160F | 0% | 169 | 166 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 263 | 200 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 368 | 305 | $0.00 |
| 1159F | 0% | 170 | 167 | $0.00 | |
| 4035F | 0% | 168 | 166 | $0.00 |
12 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.