Clinic
Miguel P. Rivera, M.D. A.P.M.C.
Miguel P. Rivera, M.D. A.P.M.C. was paid $96K by Medicaid between Feb 2018 and Nov 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 92% of everything it billed.
33Billing provider infoMIGUEL P. RIVERA, M.D. A.P.M.C.
METAIRIE, LA 70006
METAIRIE, LA 70006
33aNPI1730290396assigned 08/31/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$96K
24GClaims3,676
24DCodes billed9
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Louisiana
Rank by total paid#14 of 24
Median peer was paid$132K
This provider vs. median0.7×
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 | 686 | $10K | |
| 2019 | 634 | $10K | |
| 2020 | 249 | $7K | |
| 2021 | 572 | $15K | |
| 2022 | 482 | $17K | |
| 2023 | 610 | $21K | |
| 2024incomplete | 443 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 92% | 2,656 | 2,462 | $89K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.8% | 226 | 210 | $6K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.0% | 37 | 12 | $970.20 |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.0% | 13 | 12 | $965.60 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 27 | 26 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 44 | 43 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 347 | 318 | $0.00 |
| 1036F | 0% | 283 | 259 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 43 | 42 | $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, MIGUEL (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Respiratory Equip Leasing and Sales Services Corp | Santurce, PR | $809K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.