Physician
Otero Rivera, Carlos
Otero Rivera, Carlos was paid $4K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.
33Billing provider infoOTERO RIVERA, CARLOS
CIALES, PR 00638
CIALES, PR 00638
33aNPI1740238609assigned 05/04/2006
33bProvider typeFamily Medicine Physician
28Total paid$4K
24GClaims25,688
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Puerto Rico
Rank by total paid#61 of 160
Median peer was paid$1K
This provider vs. median3.7×
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 | 1,348 | $2K | |
| 2019 | 2,164 | $109.00 | |
| 2020 | 5,388 | $131.42 | |
| 2021 | 4,487 | $611.29 | |
| 2022 | 6,996 | $473.72 | |
| 2023 | 3,333 | $415.56 | |
| 2024incomplete | 1,972 | $69.26 |
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 | 100% | 9,518 | 7,682 | $4K |
| 3078F | 0% | 869 | 795 | $0.00 | |
| 1160F | 0% | 2,545 | 2,247 | $0.00 | |
| 1159F | 0% | 3,164 | 2,793 | $0.00 | |
| 0521F | 0% | 94 | 91 | $0.00 | |
| 96160 | 0% | 176 | 161 | $0.00 | |
| 3077F | 0% | 43 | 40 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 24 | 13 | $0.00 |
| 3075F | 0% | 308 | 289 | $0.00 | |
| 3074F | 0% | 3,605 | 3,078 | $0.00 | |
| 3079F | 0% | 3,053 | 2,637 | $0.00 | |
| 2001F | 0% | 323 | 300 | $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.