Physician
Rivera, Renato
Rivera, Renato was paid $888K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 64% of everything it billed.
33Billing provider infoRIVERA, RENATO
SAN JUAN, PR 00926
SAN JUAN, PR 00926
33aNPI1760565113assigned 10/21/2006
33bProvider typeFamily Medicine Physician
28Total paid$888K
24GClaims12,008
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Puerto Rico
Rank by total paid#2 of 160
Median peer was paid$1K
This provider vs. median782×
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 | 1,358 | $42K | |
| 2019 | 1,455 | $55K | |
| 2020 | 1,888 | $138K | |
| 2021 | 1,922 | $198K | |
| 2022 | 2,099 | $172K | |
| 2023 | 1,888 | $162K | |
| 2024incomplete | 1,398 | $120K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 64% | 3,820 | 3,135 | $570K |
| 99223 | Prolong inpt eval add15 m | 20% | 2,739 | 2,480 | $182K |
| 99238 | Hospital discharge day management, 30 minutes or less | 12% | 3,004 | 2,735 | $105K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.8% | 1,821 | 1,549 | $16K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.2% | 455 | 390 | $10K |
| 99243 | <1% | 169 | 159 | $5K |
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.