Physician
Rivera Caballero, Pedro
Rivera Caballero, Pedro was paid $1.31M by Medicaid between Mar 2018 and Dec 2024, across 10 billing codes. Its largest line is 99284, emergency room visit (serious) — 44% of everything it billed.
33Billing provider infoRIVERA CABALLERO, PEDRO
CAROLINA, PR 00985
CAROLINA, PR 00985
33aNPI1700999471assigned 08/16/2006
33bProvider typeGeneral Practice Physician
28Total paid$1.31M
24GClaims14,708
24DCodes billed10
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#4 of 1,195
Median peer was paid$2K
This provider vs. median640×
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 | 513 | $23K | |
| 2019 | 1,505 | $65K | |
| 2020 | 1,426 | $90K | |
| 2021 | 2,329 | $171K | |
| 2022 | 2,490 | $196K | |
| 2023 | 3,091 | $309K | |
| 2024incomplete | 3,354 | $453K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 44% | 7,618 | 6,007 | $580K |
| 99235 | 21% | 2,100 | 1,331 | $280K | |
| 99236 | Prolong inpt eval add15 m | 20% | 1,447 | 980 | $261K |
| 99219 | 9.7% | 1,711 | 1,641 | $127K | |
| 99220 | 2.5% | 252 | 250 | $32K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,266 | 998 | $11K |
| 93227 | <1% | 134 | 127 | $8K | |
| 99234 | <1% | 74 | 55 | $7K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 46 | 44 | $690.00 |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 60 | 59 | $105.36 |
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.