Rivera-Franco, Clarilix

Rivera-Franco, Clarilix was paid $328K by Medicaid between Feb 2020 and Oct 2024, across 5 billing codes. Its largest line is 99234, — 69% of everything it billed.

33Billing provider infoRIVERA-FRANCO, CLARILIX
YAUCO, PR 00698

33aNPI1841786993assigned 07/02/2018

33bProvider typeGeneral Practice Physician

28Total paid$328K

24GClaims4,475

24DCodes billed5

24AFirst – last monthFeb 2020 – Oct 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#72 of 1,195

Median peer was paid$2K

This provider vs. median160×

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
2020	215	$17K
2021	713	$45K
2022	966	$74K
2023	1,405	$99K
2024incomplete	1,176	$93K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99234		69%	2,434	2,024	$226K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	24%	1,757	1,417	$80K
99220		5.6%	177	122	$18K
99238	Hospital discharge day management, 30 minutes or less	<1%	87	83	$3K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	20	16	$171.51

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.