Sierra, Rosemiriam
Sierra, Rosemiriam was paid $253K by Medicaid between Feb 2019 and Nov 2024, across 8 billing codes. Its largest line is 98942, — 59% of everything it billed.
33Billing provider infoSIERRA, ROSEMIRIAM
JUANA DIAZ, PR 00795
JUANA DIAZ, PR 00795
33aNPI1720404353assigned 03/06/2014
33bProvider typeChiropractor
28Total paid$253K
24GClaims17,547
24DCodes billed8
24AFirst – last monthFeb 2019 – Nov 2024
Compared with peers
Next to other Chiropractor providers in Puerto Rico
Rank by total paid#8 of 121
Median peer was paid$27K
This provider vs. median9.4×
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 | |
|---|---|---|---|
| 2019 | 2,526 | $37K | |
| 2020 | 3,227 | $63K | |
| 2021 | 3,266 | $59K | |
| 2022 | 2,911 | $53K | |
| 2023 | 5,060 | $28K | |
| 2024incomplete | 557 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 98942 | 59% | 5,274 | 1,616 | $149K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 20% | 4,111 | 1,207 | $49K |
| 97014 | 8.1% | 3,867 | 1,122 | $21K | |
| 97010 | 6.3% | 3,785 | 1,110 | $16K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.9% | 224 | 218 | $15K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 26 | 13 | $2K |
| 97012 | <1% | 227 | 51 | $1K | |
| 97035 | 0% | 33 | 13 | $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.