Rivera, William

Rivera, William was paid $44K by Medicaid between Mar 2021 and Sep 2024, across 4 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 54% of everything it billed.

33Billing provider infoRIVERA, WILLIAM
APPLE VALLEY, CA 92307

33aNPI1447498985assigned 01/21/2009

33bProvider typeGeneral Acute Care Hospital

28Total paid$44K

24GClaims1,017

24DCodes billed4

24AFirst – last monthMar 2021 – Sep 2024

Compared with peers

Next to other General Acute Care Hospital providers in California

Rank by total paid#338 of 410

Median peer was paid$6.90M

This provider vs. median0.0×

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
2021	27	$3K
2022	91	$8K
2023	419	$18K
2024incomplete	480	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	54%	352	346	$24K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	34%	608	206	$15K
99205	Prolong outpt/office vis	10%	43	43	$4K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	2.3%	14	14	$992.44

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.