Rives, Elvira

Rives, Elvira was paid $240K by Medicaid between Apr 2018 and Aug 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.

33Billing provider infoRIVES, ELVIRA
MIAMI LAKES, FL 33016

33aNPI1619900610assigned 07/10/2006

33bProvider typePediatrics Physician

28Total paid$240K

24GClaims12,049

24DCodes billed25

24AFirst – last monthApr 2018 – Aug 2024

Compared with peers

Next to other Pediatrics Physician providers in Florida

Rank by total paid#485 of 971

Median peer was paid$238K

This provider vs. median1.0×

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	152	$2K
2019	3,908	$27K
2020	2,534	$42K
2021	1,738	$34K
2022	1,862	$61K
2023	1,551	$62K
2024incomplete	304	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	52%	6,789	5,889	$126K
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%	762	661	$42K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	8.0%	598	541	$19K
90460	Immunization administration through 18 years of age via any route, first or only component	7.0%	1,191	1,043	$17K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	6.6%	343	336	$16K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	5.7%	503	487	$14K
90461		<1%	519	494	$1K
86769		<1%	255	126	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	38	36	$944.49
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	164	160	$690.62
90716		<1%	13	13	$510.68
93000		<1%	132	132	$489.33

13 more codes

90472	Immunization administration, each additional vaccine (list separately)	<1%	63	$460.00
90633		<1%	25	$341.66
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	193	$182.69
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	106	$80.76
90651		0%	24	$0.00
92551		0%	15	$0.00
87276		0%	14	$0.00
99173		0%	129	$0.00
90670		0%	109	$0.00
90707		0%	12	$0.00
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	0%	26	$0.00
87275		0%	14	$0.00
90700		0%	12	$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.