Physician
Velez Rivera, Karla
Velez Rivera, Karla was paid $191K by Medicaid between Jan 2018 and Oct 2024, across 7 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 56% of everything it billed.
33Billing provider infoVELEZ RIVERA, KARLA
MAYAGUEZ, PR 00681
MAYAGUEZ, PR 00681
33aNPI1801039961assigned 04/19/2009
33bProvider typeInternal Medicine Physician
28Total paid$191K
24GClaims6,229
24DCodes billed7
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in Puerto Rico
Rank by total paid#79 of 518
Median peer was paid$5K
This provider vs. median38×
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 | 776 | $11K | |
| 2019 | 380 | $5K | |
| 2020 | 577 | $26K | |
| 2021 | 1,049 | $49K | |
| 2022 | 945 | $34K | |
| 2023 | 1,393 | $44K | |
| 2024incomplete | 1,109 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 56% | 2,098 | 1,893 | $106K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 20% | 534 | 501 | $38K |
| 99223 | Prolong inpt eval add15 m | 12% | 650 | 605 | $22K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.0% | 1,181 | 1,101 | $11K |
| 99238 | Hospital discharge day management, 30 minutes or less | 5.1% | 690 | 637 | $10K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.5% | 1,041 | 957 | $3K |
| 99242 | <1% | 35 | 25 | $515.00 |
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.