Rivera Cruz, Victor

Rivera Cruz, Victor was paid $292K by Medicaid between Apr 2022 and Nov 2024, across 7 billing codes. Its largest line is 99285, emergency room visit (most serious) — 53% of everything it billed.

33Billing provider infoRIVERA CRUZ, VICTOR
GUAYNABO, PR 00969

33aNPI1558482638assigned 04/03/2007

33bProvider typeEmergency Medicine Physician

28Total paid$292K

24GClaims3,317

24DCodes billed7

24AFirst – last monthApr 2022 – Nov 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Puerto Rico

Rank by total paid#7 of 46

Median peer was paid$14K

This provider vs. median21×

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
2022	721	$71K
2023	1,124	$94K
2024incomplete	1,472	$127K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	53%	1,168	1,113	$155K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	23%	678	649	$67K
99222	Initial hospital care, per day, moderate complexity	12%	337	321	$35K
99235		5.5%	123	122	$16K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	3.9%	208	203	$11K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	2.6%	783	750	$7K
93000		<1%	20	20	$357.00

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.