Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Rivera Velazquez, Jose

Rivera Velazquez, Jose was paid $817K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 99235, — 24% of everything it billed.

33Billing provider infoRIVERA VELAZQUEZ, JOSE
CAGUAS, PR 00727
33aNPI1851300727assigned 08/07/2006
33bProvider typeSpecialist
28Total paid$817K
24GClaims11,149
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Specialist providers in Puerto Rico

Rank by total paid#28 of 316
Median peer was paid$26K
This provider vs. median32×

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$50K$100K2018201920202021202220232024
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
20181,082$44K
20191,324$122K
2020517$49K
20211,222$47K
20221,881$100K
20232,079$178K
2024incomplete3,044$276K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99235 24% 1,881 1,734 $198K
99220 20% 1,837 1,618 $167K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 16% 1,256 844 $132K
99245 9.7% 2,587 2,525 $80K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 7.9% 1,077 547 $64K
99234 6.8% 550 333 $55K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 5.8% 340 336 $47K
99241 2.7% 499 494 $22K
99218 2.6% 643 626 $22K
99236 Prolong inpt eval add15 m 1.9% 78 71 $15K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.7% 354 73 $14K
99243 <1% 23 23 $1K
1 more codes
99233 Hospital visit by a doctor, follow-up day (complex) 0% 24 $0.00

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.