Rivera-Zayas, Javier

Rivera-Zayas, Javier was paid $126K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.

33Billing provider infoRIVERA-ZAYAS, JAVIER
CIDRA, PR 00739

33aNPI1841215035assigned 07/12/2006

33bProvider typePhysical Medicine & Rehabilitation Physician

28Total paid$126K

24GClaims2,350

24DCodes billed6

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Physical Medicine & Rehabilitation Physician providers in Puerto Rico

Rank by total paid#47 of 88

Median peer was paid$135K

This provider vs. median0.9×

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	236	$7K
2019	146	$5K
2020	261	$13K
2021	422	$26K
2022	438	$26K
2023	560	$26K
2024incomplete	287	$23K

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	63%	1,459	1,226	$79K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	29%	486	466	$37K
99243		5.1%	130	125	$6K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	1.7%	100	16	$2K
97032		<1%	96	15	$1K
97035		<1%	79	14	$758.55

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.