Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Andujar-Rivera, Krystahl

Andujar-Rivera, Krystahl was paid $50K by Medicaid between Jan 2020 and Sep 2023, across 4 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 79% of everything it billed.

33Billing provider infoANDUJAR-RIVERA, KRYSTAHL
CAROLINA, PR 00983
33aNPI1902241169assigned 05/01/2013
33bProvider typeNephrology Physician
28Total paid$50K
24GClaims554
24DCodes billed4
24AFirst – last monthJan 2020 – Sep 2023
Compared with peers

Next to other Nephrology Physician providers in Puerto Rico

Rank by total paid#44 of 81
Median peer was paid$66K
This provider vs. median0.8×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
2020202$9K
2021177$20K
202267$7K
2023108$13K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 79% 340 298 $39K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 15% 150 44 $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 4.5% 45 40 $2K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.1% 19 15 $1K

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.