Maldonado-Rivera, Sandra

Maldonado-Rivera, Sandra was paid $28K by Medicaid between Jan 2018 and Sep 2024, across 3 billing codes. Its largest line is 99255, — 60% of everything it billed.

33Billing provider infoMALDONADO-RIVERA, SANDRA
DORADO, PR 00646

33aNPI1891980892assigned 09/12/2007

33bProvider typeInfectious Disease Physician

28Total paid$28K

24GClaims583

24DCodes billed3

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Infectious Disease Physician providers in Puerto Rico

Rank by total paid#44 of 57

Median peer was paid$106K

This provider vs. median0.3×

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	163	$8K
2019	157	$4K
2020	14	$829.00
2021	26	$2K
2022	39	$2K
2023	35	$2K
2024incomplete	149	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99255		60%	374	315	$17K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	35%	191	56	$10K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	5.3%	18	16	$2K

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.