Rivera, Edwin

Rivera, Edwin was paid $605K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99284, emergency room visit (serious) — 98% of everything it billed.

33Billing provider infoRIVERA, EDWIN
CAROLINA, PR 00983

33aNPI1669411211assigned 06/06/2006

33bProvider typeGeneral Practice Physician

28Total paid$605K

24GClaims7,945

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#32 of 1,195

Median peer was paid$2K

This provider vs. median296×

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	607	$8K
2019	196	$5K
2020	76	$841.20
2021	1,019	$77K
2022	2,166	$172K
2023	2,035	$173K
2024incomplete	1,846	$170K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	98%	7,053	5,839	$591K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	1.7%	741	692	$10K
99218		<1%	51	43	$2K
99220		<1%	13	12	$1K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	87	85	$766.18

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.