Martinez Rivera, Monica

Martinez Rivera, Monica was paid $328K by Medicaid between May 2019 and Nov 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.

33Billing provider infoMARTINEZ RIVERA, MONICA
SAN JUAN, PR 00909

33aNPI1871873091assigned 08/19/2011

33bProvider typeObstetrics & Gynecology Physician

28Total paid$328K

24GClaims6,958

24DCodes billed13

24AFirst – last monthMay 2019 – Nov 2024

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Puerto Rico

Rank by total paid#22 of 185

Median peer was paid$53K

This provider vs. median6.1×

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
2019	918	$14K
2020	780	$18K
2021	1,097	$56K
2022	1,588	$71K
2023	825	$67K
2024incomplete	1,750	$102K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	63%	3,215	2,401	$207K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	19%	1,285	521	$61K
76830	Ultrasound, transvaginal	4.7%	462	251	$15K
99070		2.6%	469	368	$9K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	2.5%	130	127	$8K
99401		2.4%	624	494	$8K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	2.3%	507	192	$7K
99443		2.2%	123	113	$7K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	35	31	$2K
99442		<1%	47	44	$2K
76818		<1%	33	18	$1K
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	<1%	14	14	$368.64

1 more codes

G0101

Cervical or vaginal cancer screening; pelvic and clinical breast examination

<1%

$343.68

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.