Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Rivera, Jose

Rivera, Jose was paid $12K by Medicaid between Jan 2018 and Mar 2021, across 7 billing codes. Its largest line is 77067, Screening mammography, bilateral, including computer-aided detection — 33% of everything it billed.

33Billing provider infoRIVERA, JOSE
YAUCO, PR 00698
33aNPI1417956954assigned 07/18/2005
28Total paid$12K
24GClaims453
24DCodes billed7
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers

Next to other Diagnostic Radiology Physician providers in Puerto Rico

Rank by total paid#46 of 64
Median peer was paid$131K
This provider vs. median0.1×

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$4.0K2018201920202021202220232024
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
2018371$12K
202182$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
77067 Screening mammography, bilateral, including computer-aided detection 33% 131 125 $4K
76641 22% 58 56 $3K
71046 Radiologic examination, chest; 2 views 15% 72 66 $2K
77080 15% 88 80 $2K
72100 9.1% 51 50 $1K
71045 Radiologic examination, chest; single view 5.5% 41 40 $634.56
76700 Ultrasound, abdominal, real time with image documentation; complete 0% 12 12 $0.00

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.