Physician
Rivera Rivera, Nelson
Rivera Rivera, Nelson was paid $0.01 by Medicaid between Feb 2018 and Mar 2019, across 9 billing codes. Its largest line is 3078F, — 100% of everything it billed.
33Billing provider infoRIVERA RIVERA, NELSON
VILLALBA, PR 00766
VILLALBA, PR 00766
33aNPI1700875861assigned 10/20/2005
33bProvider typeInternal Medicine Physician
28Total paid$0.01
24GClaims284
24DCodes billed9
24AFirst – last monthFeb 2018 – Mar 2019
Compared with peers
Next to other Internal Medicine Physician providers in Puerto Rico
Rank by total paid#451 of 518
Median peer was paid$5K
This provider vs. median0.0×
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 | 186 | $0.01 | |
| 2019 | 98 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 3078F | 100% | 30 | 30 | $0.01 | |
| 1158F | 0% | 32 | 30 | $0.00 | |
| 1160F | 0% | 36 | 34 | $0.00 | |
| 1159F | 0% | 36 | 34 | $0.00 | |
| 96160 | 0% | 44 | 34 | $0.00 | |
| S0257 | Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) | 0% | 14 | 12 | $0.00 |
| 1170F | 0% | 32 | 30 | $0.00 | |
| 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 | 0% | 44 | 34 | $0.00 |
| 1126F | 0% | 16 | 16 | $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.