Physician
Rivera Irizarry, Jose
Rivera Irizarry, Jose was paid $85K by Medicaid between Mar 2018 and Jan 2021, across 14 billing codes. Its largest line is 99220, — 67% of everything it billed.
33Billing provider infoRIVERA IRIZARRY, JOSE
ARROYO, PR 00714
ARROYO, PR 00714
33aNPI1497742316assigned 10/05/2005
33bProvider typeGeneral Practice Physician
28Total paid$85K
24GClaims1,141
24DCodes billed14
24AFirst – last monthMar 2018 – Jan 2021
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#199 of 1,195
Median peer was paid$2K
This provider vs. median42×
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 | 361 | $12K | |
| 2019 | 367 | $37K | |
| 2020 | 384 | $34K | |
| 2021 | 29 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99220 | 67% | 569 | 501 | $57K | |
| 99235 | 31% | 292 | 275 | $27K | |
| 99245 | 1.5% | 92 | 70 | $1K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 25 | 25 | $160.00 |
| 3074F | <1% | 18 | 14 | $10.00 | |
| 3078F | <1% | 18 | 14 | $10.00 | |
| 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 | 0% | 18 | 14 | $0.00 |
| 2010F | 0% | 17 | 14 | $0.00 | |
| 3008F | 0% | 19 | 14 | $0.00 | |
| 2000F | 0% | 19 | 14 | $0.00 | |
| 2001F | 0% | 18 | 14 | $0.00 | |
| 1159F | 0% | 12 | 12 | $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.