Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Ayala Rios, Roberto

Ayala Rios, Roberto was paid $188K by Medicaid between Feb 2021 and Nov 2024, across 16 billing codes. Its largest line is 0002A, — 39% of everything it billed.

33Billing provider infoAYALA RIOS, ROBERTO
ANASCO, PR 00610
33aNPI1518197136assigned 07/16/2009
28Total paid$188K
24GClaims8,173
24DCodes billed16
24AFirst – last monthFeb 2021 – Nov 2024
Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#124 of 1,195
Median peer was paid$2K
This provider vs. median92×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20215,800$160K
2022753$26K
2023900$462.25
2024incomplete720$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
0002A 39% 2,579 2,335 $73K
0001A 34% 2,660 2,348 $65K
0003A 25% 1,259 1,202 $46K
0004A <1% 43 43 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 627 366 $598.32
0124A <1% 12 12 $480.00
90472 Immunization administration, each additional vaccine (list separately) <1% 282 168 $250.90
90656 <1% 88 50 $200.01
90715 <1% 22 12 $200.00
90480 <1% 22 18 $200.00
90686 <1% 263 212 $58.65
91320 0% 22 18 $0.00
4 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 0% 21 $0.00
90473 0% 17 $0.00
90653 0% 16 $0.00
G0008 Administration of influenza virus vaccine 0% 240 $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.