Ortiz Rivera, Juan

Ortiz Rivera, Juan was paid $19K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is 99283, emergency room visit (moderate) — 74% of everything it billed.

33Billing provider infoORTIZ RIVERA, JUAN
SALINAS, PR 00751

33aNPI1891742193assigned 05/30/2006

33bProvider typePediatrics Physician

28Total paid$19K

24GClaims1,437

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Pediatrics Physician providers in Puerto Rico

Rank by total paid#74 of 194

Median peer was paid$7K

This provider vs. median2.8×

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	341	$5K
2019	545	$8K
2020	102	$2K
2021	115	$2K
2022	183	$2K
2023	80	$280.18
2024incomplete	71	$428.62

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	74%	1,079	952	$14K
99241		25%	247	205	$5K
99242		<1%	21	12	$136.52
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	0%	16	15	$0.00
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	0%	74	68	$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.