Rivera, Michael

Rivera, Michael was paid $79K by Medicaid between Jan 2018 and Jun 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.

33Billing provider infoRIVERA, MICHAEL
ST CHARLES, IL 60175

33aNPI1447304282assigned 01/22/2007

33bProvider typeFamily Medicine Physician

28Total paid$79K

24GClaims1,691

24DCodes billed3

24AFirst – last monthJan 2018 – Jun 2024

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#1,111 of 2,947

Median peer was paid$43K

This provider vs. median1.9×

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	345	$15K
2019	407	$19K
2020	212	$10K
2021	224	$10K
2022	257	$11K
2023	174	$9K
2024incomplete	72	$5K

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	70%	1,324	1,172	$55K
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	29%	350	311	$23K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	17	17	$788.70

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.