Physician
Rivera, Raul
Rivera, Raul was paid $42K by Medicaid between Jan 2018 and Jul 2024, across 19 billing codes. Its largest line is 99238, Hospital discharge day management, 30 minutes or less — 38% of everything it billed.
33Billing provider infoRIVERA, RAUL
ARECIBO, PR 00612
ARECIBO, PR 00612
33aNPI1679672356assigned 09/21/2006
33bProvider typeInternal Medicine Physician
28Total paid$42K
24GClaims1,844
24DCodes billed19
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Internal Medicine Physician providers in Puerto Rico
Rank by total paid#175 of 518
Median peer was paid$5K
This provider vs. median8.5×
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 | 1,176 | $4K | |
| 2019 | 113 | $3K | |
| 2020 | 65 | $3K | |
| 2021 | 199 | $11K | |
| 2022 | 168 | $15K | |
| 2023 | 80 | $3K | |
| 2024incomplete | 43 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99238 | Hospital discharge day management, 30 minutes or less | 38% | 420 | 385 | $16K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 18% | 27 | 25 | $8K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 18% | 68 | 64 | $7K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 10% | 147 | 137 | $4K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 9.3% | 43 | 30 | $4K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.5% | 73 | 66 | $1K |
| 3078F | 1.4% | 110 | 101 | $609.63 | |
| 3074F | 1.3% | 106 | 98 | $569.63 | |
| 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% | 125 | 111 | $231.16 |
| 1157F | <1% | 105 | 95 | $212.78 | |
| 3044F | <1% | 46 | 43 | $196.12 | |
| 1158F | <1% | 64 | 54 | $137.77 |
7 more codes
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.