Physician
Canales Rivera, Ernie
Canales Rivera, Ernie was paid $44K by Medicaid between May 2021 and Sep 2024, across 6 billing codes. Its largest line is 99284, emergency room visit (serious) — 40% of everything it billed.
33Billing provider infoCANALES RIVERA, ERNIE
CAROLINA, PR 00987
CAROLINA, PR 00987
33aNPI1518511518assigned 07/29/2019
33bProvider typeGeneral Practice Physician
28Total paid$44K
24GClaims958
24DCodes billed6
24AFirst – last monthMay 2021 – Sep 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#260 of 1,195
Median peer was paid$2K
This provider vs. median22×
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 | |
|---|---|---|---|
| 2021 | 482 | $12K | |
| 2022 | 148 | $8K | |
| 2023 | 298 | $22K | |
| 2024incomplete | 30 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 40% | 249 | 201 | $18K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 30% | 415 | 300 | $14K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 23% | 104 | 70 | $10K |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | 3.0% | 52 | 48 | $1K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 2.5% | 75 | 65 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.1% | 63 | 52 | $472.13 |
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.