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

Rivera-Carpio, Luis

Rivera-Carpio, Luis was paid $13K by Medicaid between Jan 2018 and Apr 2024, across 5 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 51% of everything it billed.

33Billing provider infoRIVERA-CARPIO, LUIS
AGUADILLA, PR 00603
33aNPI1437306412assigned 08/21/2008
28Total paid$13K
24GClaims358
24DCodes billed5
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#231 of 518
Median peer was paid$5K
This provider vs. median2.6×

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
2018251$8K
201977$1K
202115$255.00
2024incomplete15$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 51% 80 71 $6K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 33% 133 105 $4K
99245 12% 89 87 $2K
99239 Hospital discharge day management, more than 30 minutes 3.9% 41 40 $502.96
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 15 13 $35.70

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.