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

Rivera-Perez, Nicole

Rivera-Perez, Nicole was paid $1.41M by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 64% of everything it billed.

33Billing provider infoRIVERA-PEREZ, NICOLE
VEGA BAJA, PR 00676
33aNPI1528371770assigned 07/16/2010
28Total paid$1.41M
24GClaims25,676
24DCodes billed4
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Infectious Disease Physician providers in Puerto Rico

Rank by total paid#2 of 57
Median peer was paid$106K
This provider vs. median13×

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
20182,810$73K
20192,626$78K
20203,455$144K
20212,921$172K
20223,399$211K
20233,999$258K
2024incomplete6,466$474K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 64% 19,097 5,053 $898K
99222 Initial hospital care, per day, moderate complexity 29% 4,041 3,050 $416K
99252 6.7% 2,465 2,329 $94K
99253 <1% 73 65 $2K

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.