Rivera Borges, Felix

Rivera Borges, Felix was paid $381K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.

33Billing provider infoRIVERA BORGES, FELIX
MAYAGUEZ, PR 00680

33aNPI1821000928assigned 08/13/2006

33bProvider typeGastroenterology Physician

28Total paid$381K

24GClaims5,048

24DCodes billed7

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Gastroenterology Physician providers in Puerto Rico

Rank by total paid#34 of 107

Median peer was paid$47K

This provider vs. median8.2×

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	1,507	$98K
2019	454	$17K
2020	455	$27K
2021	377	$22K
2022	533	$31K
2023	761	$79K
2024incomplete	961	$108K

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	36%	2,711	2,397	$137K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	26%	539	362	$101K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	21%	1,486	1,325	$81K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	15%	226	127	$57K
45380	Colonoscopy, flexible; with biopsy, single or multiple	1.5%	55	12	$6K
99443		<1%	12	12	$305.76
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	<1%	19	15	$18.58

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.