Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Rivera, Ramon

Rivera, Ramon was paid $2K by Medicaid between Sep 2019 and Nov 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 93% of everything it billed.

33Billing provider infoRIVERA, RAMON
SUFFERN, NY 10901
33aNPI1841299005assigned 07/20/2005
33bProvider typeSurgery Physician
28Total paid$2K
24GClaims153
24DCodes billed2
24AFirst – last monthSep 2019 – Nov 2024
Compared with peers

Next to other Surgery Physician providers in New York

Rank by total paid#248 of 396
Median peer was paid$4K
This provider vs. median0.5×

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

$0$200$4002018201920202021202220232024
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
YearClaimsPaid
201915$160.16
202142$592.76
202367$920.27
2024incomplete29$500.02
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 93% 138 131 $2K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7.4% 15 14 $160.16

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.