Rios-Enriquez, Maria

Rios-Enriquez, Maria was paid $31K by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 48% of everything it billed.

33Billing provider infoRIOS-ENRIQUEZ, MARIA
SAN GERMAN, PR 00683

33aNPI1811988199assigned 11/04/2005

33bProvider typeGastroenterology Physician

28Total paid$31K

24GClaims629

24DCodes billed3

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Gastroenterology Physician providers in Puerto Rico

Rank by total paid#65 of 107

Median peer was paid$47K

This provider vs. median0.7×

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	205	$5K
2023	167	$10K
2024incomplete	257	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	48%	235	220	$15K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	42%	258	247	$13K
99070		10%	136	97	$3K

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.