Casiano Rivera, Elsa

Casiano Rivera, Elsa was paid $24K by Medicaid between Jan 2024 and Jul 2024, across 17 billing codes. Its largest line is 99345, Prolong home eval add 15m — 68% of everything it billed.

33Billing provider infoCASIANO RIVERA, ELSA
ROCKFORD, IL 61102

33aNPI1497414536assigned 12/16/2021

33bProvider typeFamily Nurse Practitioner

28Total paid$24K

24GClaims1,707

24DCodes billed17

24AFirst – last monthJan 2024 – Jul 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#1,689 of 3,353

Median peer was paid$25K

This provider vs. median1.0×

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
2024incomplete	1,707	$24K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99345	Prolong home eval add 15m	68%	193	169	$17K
96127		27%	194	186	$7K
99350	Prolong home eval add 15m	4.1%	15	13	$1K
83037		<1%	51	39	$75.48
1159F		<1%	225	213	$2.25
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	225	213	$2.25
1160F		<1%	225	213	$2.25
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	150	143	$1.50
3016F		<1%	90	88	$0.90
3074F		<1%	84	80	$0.84
1126F		<1%	78	77	$0.78
1125F		<1%	71	71	$0.71

5 more codes

G8431	Screening for depression is documented as being positive and a follow-up plan is documented	<1%	33	$0.33
G9226	Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed)	<1%	23	$0.23
3075F		<1%	20	$0.20
3044F		<1%	17	$0.17
2023F		<1%	13	$0.13

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.