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

Nieves-Rivera, Juan

Nieves-Rivera, Juan was paid $652K by Medicaid between Jan 2021 and Nov 2024, across 19 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 40% of everything it billed.

33Billing provider infoNIEVES-RIVERA, JUAN
HATILLO, PR 00659
33aNPI1588929624assigned 07/04/2012
28Total paid$652K
24GClaims11,695
24DCodes billed19
24AFirst – last monthJan 2021 – Nov 2024
Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#19 of 518
Median peer was paid$5K
This provider vs. median131×

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
20211,485$133K
20221,871$134K
20232,802$155K
2024incomplete5,537$229K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 40% 1,025 972 $259K
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 24% 1,837 1,761 $156K
93224 12% 603 584 $81K
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 8.1% 479 455 $53K
93000 6.6% 2,528 2,412 $43K
93015 5.7% 271 255 $37K
93880 1.9% 77 64 $12K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.1% 165 156 $7K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 34 33 $1K
93970 <1% 13 13 $1K
3077F 0% 171 154 $0.00
1160F 0% 895 817 $0.00
7 more codes
3078F 0% 404 $0.00
1159F 0% 832 $0.00
3008F 0% 1,073 $0.00
3079F 0% 492 $0.00
3080F 0% 44 $0.00
3075F 0% 103 $0.00
3074F 0% 649 $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.