Riera, Diana

Riera, Diana was paid $77K by Medicaid between Jan 2018 and Oct 2020, across 5 billing codes. Its largest line is 99205, Prolong outpt/office vis — 33% of everything it billed.

33Billing provider infoRIERA, DIANA
NASHVILLE, TN 37232

33aNPI1780623694assigned 06/06/2006

33bProvider typePediatric Gastroenterology Physician

28Total paid$77K

24GClaims531

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2020

Compared with peers

Next to other Pediatric Gastroenterology Physician providers in Tennessee

Rank by total paid#6 of 13

Median peer was paid$76K

This provider vs. median1.0×

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	237	$31K
2019	175	$26K
2020	119	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99205	Prolong outpt/office vis	33%	135	130	$26K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	32%	119	116	$25K
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	20%	183	169	$15K
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	13%	78	71	$10K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.1%	16	15	$813.70

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.