Physician
Marcano Rivera, Manuel
Marcano Rivera, Manuel was paid $62K by Medicaid between Feb 2018 and Jun 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.
33Billing provider infoMARCANO RIVERA, MANUEL
ARECIBO, PR 00612
ARECIBO, PR 00612
33aNPI1447224746assigned 02/14/2006
33bProvider typeGeneral Practice Physician
28Total paid$62K
24GClaims14,571
24DCodes billed32
24AFirst – last monthFeb 2018 – Jun 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#228 of 1,195
Median peer was paid$2K
This provider vs. median30×
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 | 663 | $335.68 | |
| 2019 | 525 | $340.00 | |
| 2020 | 265 | $2K | |
| 2021 | 89 | $53.49 | |
| 2022 | 3,711 | $35K | |
| 2023 | 6,906 | $20K | |
| 2024incomplete | 2,412 | $3K |
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 | 73% | 3,517 | 2,323 | $45K |
| 94760 | 7.1% | 2,144 | 1,544 | $4K | |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 6.9% | 575 | 391 | $4K |
| 99442 | 5.6% | 94 | 84 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.6% | 323 | 218 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.2% | 1,143 | 706 | $2K |
| 99415 | Prolong outpt/office vis | <1% | 69 | 50 | $250.27 |
| 36410 | <1% | 69 | 37 | $16.57 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 643 | 501 | $7.68 |
| J2300 | Injection, nalbuphine hydrochloride, per 10 mg | <1% | 576 | 448 | $7.62 |
| 99416 | Prolong outpt/office vis | <1% | 30 | 19 | $4.45 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 104 | 87 | $4.31 |
20 more codes
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 139 | $2.14 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 98 | $1.78 |
| 3075F | 0% | 732 | $0.00 | |
| 3079F | 0% | 810 | $0.00 | |
| 3074F | 0% | 1,134 | $0.00 | |
| 3044F | 0% | 38 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 30 | $0.00 |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 0% | 65 | $0.00 |
| 1125F | 0% | 60 | $0.00 | |
| 3008F | 0% | 24 | $0.00 | |
| 3080F | 0% | 178 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 14 | $0.00 |
| 3061F | 0% | 12 | $0.00 | |
| 1160F | 0% | 39 | $0.00 | |
| 3078F | 0% | 1,222 | $0.00 | |
| 3077F | 0% | 388 | $0.00 | |
| 1159F | 0% | 39 | $0.00 | |
| J1580 | Injection, garamycin, gentamicin, up to 80 mg | 0% | 15 | $0.00 |
| 82947 | 0% | 208 | $0.00 | |
| 96160 | 0% | 39 | $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.