Physician
Rivera, Pedro
Rivera, Pedro was paid $3K by Medicaid between Jan 2018 and Sep 2020, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 77% of everything it billed.
33Billing provider infoRIVERA, PEDRO
SAN GERMAN, PR 00683
SAN GERMAN, PR 00683
33aNPI1780712216assigned 02/28/2007
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$3K
24GClaims5,137
24DCodes billed12
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Puerto Rico
Rank by total paid#9 of 18
Median peer was paid$1K
This provider vs. median2.8×
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 | 2,316 | $336.00 | |
| 2019 | 1,942 | $2K | |
| 2020 | 879 | $1K |
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 | 77% | 4,086 | 3,313 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 10% | 341 | 306 | $332.47 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 9.9% | 37 | 29 | $315.00 |
| 92551 | 1.5% | 268 | 240 | $48.00 | |
| 99421 | <1% | 53 | 50 | $21.78 | |
| 96127 | <1% | 66 | 64 | $6.56 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 17 | 17 | $0.00 |
| 99382 | 0% | 30 | 29 | $0.00 | |
| 99441 | 0% | 156 | 135 | $0.00 | |
| 86580 | 0% | 46 | 46 | $0.00 | |
| 96150 | 0% | 20 | 20 | $0.00 | |
| 99383 | 0% | 17 | 16 | $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.