Rivera, Elionexsis

Rivera, Elionexsis was paid $3K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99442, — 64% of everything it billed.

33Billing provider infoRIVERA, ELIONEXSIS
SAN SEBASTIAN, PR 00685

33aNPI1588638456assigned 02/15/2006

33bProvider typePediatrics Physician

28Total paid$3K

24GClaims8,109

24DCodes billed9

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pediatrics Physician providers in Puerto Rico

Rank by total paid#115 of 194

Median peer was paid$7K

This provider vs. median0.5×

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	992	$178.00
2019	822	$190.00
2020	561	$189.00
2021	1,046	$668.43
2022	1,243	$637.92
2023	1,308	$588.88
2024incomplete	2,137	$630.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99442		64%	5,162	3,195	$2K
96160		20%	274	121	$630.00
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	11%	216	212	$328.00
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.5%	517	384	$106.98
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.3%	1,734	1,309	$40.00
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	0%	36	31	$0.00
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	0%	33	33	$0.00
99173		0%	61	35	$0.00
92551		0%	76	48	$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.