Rios Cosme, Elia
Rios Cosme, Elia was paid $94K by Medicaid between Mar 2023 and Aug 2024, across 7 billing codes. Its largest line is 99283, emergency room visit (moderate) — 53% of everything it billed.
33Billing provider infoRIOS COSME, ELIA
GURABO, PR 00778
GURABO, PR 00778
33aNPI1518414440assigned 09/08/2016
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$94K
24GClaims1,446
24DCodes billed7
24AFirst – last monthMar 2023 – Aug 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Puerto Rico
Rank by total paid#29 of 77
Median peer was paid$39K
This provider vs. median2.4×
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 | |
|---|---|---|---|
| 2023 | 782 | $49K | |
| 2024incomplete | 664 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 53% | 962 | 871 | $50K |
| 99234 | 23% | 263 | 224 | $21K | |
| 99221 | 9.3% | 112 | 112 | $9K | |
| 99235 | 7.9% | 57 | 36 | $7K | |
| 99236 | Prolong inpt eval add15 m | 3.0% | 17 | 15 | $3K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.4% | 22 | 22 | $2K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 1.3% | 13 | 13 | $1K |
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.