Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › Arecibo › NPI 1548657935
Physician

Rivera-Ortiz, Jinetsy

Rivera-Ortiz, Jinetsy was paid $43K by Medicaid between Jun 2021 and Oct 2024, across 7 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 35% of everything it billed.

33Billing provider infoRIVERA-ORTIZ, JINETSY
ARECIBO, PR 00612
33aNPI1548657935assigned 04/23/2015
28Total paid$43K
24GClaims594
24DCodes billed7
24AFirst – last monthJun 2021 – Oct 2024
Compared with peers

Next to other Endocrinology, Diabetes & Metabolism Physician providers in Puerto Rico

Rank by total paid#22 of 52
Median peer was paid$23K
This provider vs. median1.9×

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$5.0K$10K2018201920202021202220232024
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
202179$6K
2022119$8K
202312$1K
2024incomplete384$28K
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 35% 257 72 $15K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 19% 100 38 $8K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 18% 99 97 $8K
99223 Prolong inpt eval add15 m 10% 27 27 $4K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7.8% 46 45 $3K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.8% 47 47 $2K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4.3% 18 17 $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.