Physician
DR Rivera & Associates, P.A.
DR Rivera & Associates, P.A. was paid $66K by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 83% of everything it billed.
33Billing provider infoDR RIVERA & ASSOCIATES, P.A.
PASADENA, TX 77504
PASADENA, TX 77504
33aNPI1700803467assigned 07/17/2006
33bProvider typeInternal Medicine Physician
28Total paid$66K
24GClaims14,737
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#269 of 1,028
Median peer was paid$10K
This provider vs. median6.4×
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 | 1,630 | $4K | |
| 2019 | 1,443 | $3K | |
| 2020 | 1,706 | $5K | |
| 2021 | 3,548 | $17K | |
| 2022 | 1,943 | $13K | |
| 2023 | 1,716 | $12K | |
| 2024incomplete | 2,751 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 83% | 2,435 | 2,105 | $55K |
| 99000 | 10% | 1,551 | 1,411 | $7K | |
| 93000 | 1.5% | 145 | 134 | $985.83 | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.4% | 13 | 13 | $929.12 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.3% | 93 | 80 | $836.47 |
| 93922 | <1% | 15 | 15 | $647.10 | |
| 82948 | <1% | 2,378 | 2,002 | $453.75 | |
| 90688 | <1% | 107 | 104 | $383.86 | |
| 90674 | <1% | 29 | 24 | $240.82 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 66 | 51 | $100.50 |
| 81002 | <1% | 26 | 25 | $32.42 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 29 | 24 | $2.37 |
23 more codes
| 1158F | 0% | 87 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,765 | $0.00 |
| 3725F | 0% | 256 | $0.00 | |
| 1159F | 0% | 102 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 66 | $0.00 |
| 3288F | 0% | 172 | $0.00 | |
| 1160F | 0% | 102 | $0.00 | |
| 3078F | 0% | 295 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 140 | $0.00 |
| 90756 | 0% | 14 | $0.00 | |
| 2000F | 0% | 1,341 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,180 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 579 | $0.00 |
| 1170F | 0% | 214 | $0.00 | |
| 3008F | 0% | 570 | $0.00 | |
| 3074F | 0% | 195 | $0.00 | |
| 1101F | 0% | 178 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 111 | $0.00 |
| 1036F | 0% | 50 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 113 | $0.00 |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 0% | 158 | $0.00 |
| A4556 | Electrodes, (e.g., apnea monitor), per pair | 0% | 104 | $0.00 |
| 1126F | 0% | 58 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialRIVERA, RAUL (INTERNAL MEDICINE)