Physician
Oms Rivera, Rafael
Oms Rivera, Rafael was paid $269K by Medicaid between May 2022 and Oct 2024, across 11 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 28% of everything it billed.
33Billing provider infoOMS RIVERA, RAFAEL
PONCE, PR 00717
PONCE, PR 00717
33aNPI1629140926assigned 11/14/2006
33bProvider typePhysical Medicine & Rehabilitation Physician
28Total paid$269K
24GClaims10,954
24DCodes billed11
24AFirst – last monthMay 2022 – Oct 2024
Compared with peers
Next to other Physical Medicine & Rehabilitation Physician providers in Puerto Rico
Rank by total paid#26 of 88
Median peer was paid$135K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2022 | 981 | $15K | |
| 2023 | 4,555 | $107K | |
| 2024incomplete | 5,418 | $147K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 28% | 3,141 | 634 | $76K |
| 97032 | 19% | 3,094 | 624 | $50K | |
| 97124 | 17% | 1,796 | 417 | $47K | |
| 95886 | 15% | 258 | 186 | $41K | |
| 97035 | 8.3% | 2,354 | 473 | $22K | |
| 95913 | 4.8% | 53 | 38 | $13K | |
| 97162 | 3.3% | 127 | 114 | $9K | |
| 95912 | 1.7% | 20 | 16 | $4K | |
| 97164 | 1.2% | 75 | 68 | $3K | |
| 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% | 24 | 24 | $2K |
| 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% | 12 | 12 | $886.56 |
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.