Rivera Borges, Ivelisse

Rivera Borges, Ivelisse was paid $30K by Medicaid between Jan 2018 and Aug 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.

33Billing provider infoRIVERA BORGES, IVELISSE
SAN JUAN, PR 00917

33aNPI1508872227assigned 08/01/2006

33bProvider typeNephrology Physician

28Total paid$30K

24GClaims1,010

24DCodes billed3

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Nephrology Physician providers in Puerto Rico

Rank by total paid#49 of 81

Median peer was paid$66K

This provider vs. median0.4×

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	302	$5K
2019	200	$3K
2020	119	$3K
2021	140	$5K
2022	45	$2K
2023	101	$6K
2024incomplete	103	$6K

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	75%	558	493	$22K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	25%	432	210	$7K
99443		<1%	20	17	$145.73

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.