Physician
Rivera Ortega, Santiago
Rivera Ortega, Santiago was paid $11K by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoRIVERA ORTEGA, SANTIAGO
ISABELA, PR 00662
ISABELA, PR 00662
33aNPI1730151879assigned 02/03/2006
33bProvider typeGeneral Practice Physician
28Total paid$11K
24GClaims14,055
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#400 of 1,195
Median peer was paid$2K
This provider vs. median5.2×
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 | |
|---|---|---|---|
| 2018 | 1,384 | $6K | |
| 2019 | 1,119 | $0.00 | |
| 2020 | 1,256 | $120.68 | |
| 2021 | 1,282 | $339.79 | |
| 2022 | 2,465 | $899.28 | |
| 2023 | 3,103 | $1K | |
| 2024incomplete | 3,446 | $2K |
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 | 53% | 4,050 | 3,687 | $6K |
| 96160 | 19% | 291 | 265 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 13% | 124 | 119 | $1K |
| 99441 | 12% | 1,727 | 1,589 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 3,039 | 2,781 | $186.68 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 13 | 12 | $96.50 |
| 3048F | <1% | 762 | 735 | $9.80 | |
| 3078F | 0% | 200 | 196 | $0.00 | |
| 3050F | 0% | 158 | 152 | $0.00 | |
| 1158F | 0% | 142 | 141 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 28 | 28 | $0.00 |
| 3061F | 0% | 215 | 202 | $0.00 |
14 more codes
| 3049F | 0% | 333 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 568 | $0.00 |
| 3079F | 0% | 358 | $0.00 | |
| 3017F | 0% | 481 | $0.00 | |
| 3074F | 0% | 291 | $0.00 | |
| 3044F | 0% | 227 | $0.00 | |
| 1125F | 0% | 347 | $0.00 | |
| 1111F | 0% | 110 | $0.00 | |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 0% | 63 | $0.00 |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 13 | $0.00 |
| 3075F | 0% | 295 | $0.00 | |
| 1170F | 0% | 74 | $0.00 | |
| 3008F | 0% | 134 | $0.00 | |
| 3014F | 0% | 12 | $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.