Rivera, Evelyn

Rivera, Evelyn was paid $35K by Medicaid between Nov 2018 and Aug 2023, across 5 billing codes. Its largest line is 99443, — 91% of everything it billed.

33Billing provider infoRIVERA, EVELYN
CIDRA, PR 00739

33aNPI1740379767assigned 10/11/2006

33bProvider typePediatrics Physician

28Total paid$35K

24GClaims6,887

24DCodes billed5

24AFirst – last monthNov 2018 – Aug 2023

Compared with peers

Next to other Pediatrics Physician providers in Puerto Rico

Rank by total paid#66 of 194

Median peer was paid$7K

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	122	$120.01
2019	1,276	$2K
2020	1,392	$6K
2021	1,333	$10K
2022	1,728	$3K
2023	1,036	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99443		91%	4,911	3,516	$32K
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	5.8%	1,215	963	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.3%	327	265	$820.49
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.0%	310	253	$359.01
99442		<1%	124	92	$84.02

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.