Physician
Rivera-Toledo, Jose
Rivera-Toledo, Jose was paid $1K by Medicaid between Oct 2023 and Feb 2024, across 1 billing code. Its largest line is 96160, — 100% of everything it billed.
33Billing provider infoRIVERA-TOLEDO, JOSE
CASTANER, PR 00631
CASTANER, PR 00631
33aNPI1699761817assigned 09/22/2005
33bProvider typeFamily Medicine Physician
28Total paid$1K
24GClaims193
24DCodes billed1
24AFirst – last monthOct 2023 – Feb 2024
Compared with peers
Next to other Family Medicine Physician providers in Puerto Rico
Rank by total paid#77 of 160
Median peer was paid$1K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2023 | 56 | $495.00 | |
| 2024incomplete | 137 | $855.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96160 | 100% | 193 | 110 | $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.