Rivera Rivera, Enrique

Rivera Rivera, Enrique was paid $48K by Medicaid between May 2018 and Oct 2023, across 2 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 97% of everything it billed.

33Billing provider infoRIVERA RIVERA, ENRIQUE
BAYAMON, PR 00961

33aNPI1699084723assigned 10/07/2010

33bProvider typeOphthalmology Physician

28Total paid$48K

24GClaims767

24DCodes billed2

24AFirst – last monthMay 2018 – Oct 2023

Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#98 of 141

Median peer was paid$163K

This provider vs. median0.3×

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	30	$2K
2019	172	$7K
2020	160	$10K
2021	193	$13K
2022	199	$14K
2023	13	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	97%	753	676	$46K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	3.0%	14	13	$1K

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.