Physician
Rivera Rivera, Luis
Rivera Rivera, Luis was paid $4K by Medicaid between Jan 2018 and Nov 2024, across 27 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 62% of everything it billed.
33Billing provider infoRIVERA RIVERA, LUIS
SAN SEBASTIAN, PR 00685
SAN SEBASTIAN, PR 00685
33aNPI1578540191assigned 12/23/2005
33bProvider typeGeneral Practice Physician
28Total paid$4K
24GClaims33,878
24DCodes billed27
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#505 of 1,195
Median peer was paid$2K
This provider vs. median2.1×
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 | |
|---|---|---|---|
| 2018 | 7,546 | $995.04 | |
| 2019 | 4,571 | $0.00 | |
| 2020 | 2,872 | $98.64 | |
| 2021 | 4,182 | $2K | |
| 2022 | 4,968 | $0.00 | |
| 2023 | 5,231 | $540.00 | |
| 2024incomplete | 4,508 | $540.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 62% | 69 | 67 | $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 | 24% | 9,470 | 7,925 | $1K |
| 96160 | 12% | 14 | 13 | $540.00 | |
| 99441 | <1% | 318 | 310 | $32.47 | |
| 1158F | <1% | 916 | 879 | $19.60 | |
| 3078F | <1% | 4,664 | 4,217 | $9.80 | |
| 3074F | <1% | 4,987 | 4,474 | $9.80 | |
| 3077F | 0% | 905 | 803 | $0.00 | |
| 4035F | 0% | 1,355 | 1,124 | $0.00 | |
| 1159F | 0% | 95 | 70 | $0.00 | |
| 3725F | 0% | 661 | 656 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 30 | 30 | $0.00 |
15 more codes
| 1160F | 0% | 95 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 28 | $0.00 |
| 3050F | 0% | 40 | $0.00 | |
| 3079F | 0% | 1,640 | $0.00 | |
| 3008F | 0% | 6,509 | $0.00 | |
| 3075F | 0% | 785 | $0.00 | |
| 3011F | 0% | 413 | $0.00 | |
| 3048F | 0% | 112 | $0.00 | |
| 1220F | 0% | 92 | $0.00 | |
| 3080F | 0% | 309 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 176 | $0.00 |
| 3049F | 0% | 42 | $0.00 | |
| 3017F | 0% | 38 | $0.00 | |
| 96127 | 0% | 86 | $0.00 | |
| 1157F | 0% | 29 | $0.00 |
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.