Physician
Rivera Ortega, Saul L
Rivera Ortega, Saul L was paid $2K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 84% of everything it billed.
33Billing provider infoRIVERA ORTEGA, SAUL L
VEGA ALTA, PR 00692
VEGA ALTA, PR 00692
33aNPI1891879144assigned 10/24/2006
33bProvider typeGeneral Practice Physician
28Total paid$2K
24GClaims3,765
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#630 of 1,195
Median peer was paid$2K
This provider vs. median0.7×
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 | 446 | $0.00 | |
| 2019 | 488 | $0.00 | |
| 2020 | 306 | $700.36 | |
| 2021 | 525 | $585.00 | |
| 2022 | 469 | $0.00 | |
| 2023 | 702 | $216.25 | |
| 2024incomplete | 829 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 84% | 66 | 58 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 14% | 2,698 | 2,319 | $216.25 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 1.7% | 256 | 228 | $25.36 |
| 3078F | 0% | 351 | 295 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 14 | 14 | $0.00 |
| 3074F | 0% | 356 | 298 | $0.00 | |
| 3008F | 0% | 12 | 12 | $0.00 | |
| 3017F | 0% | 12 | 12 | $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.