Rivera, Ileana

Rivera, Ileana was paid $21K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is 99285, emergency room visit (most serious) — 44% of everything it billed.

33Billing provider infoRIVERA, ILEANA
GUAYNABO, PR 00969

33aNPI1912958380assigned 05/12/2006

33bProvider typeFamily Medicine Physician

28Total paid$21K

24GClaims944

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Family Medicine Physician providers in Puerto Rico

Rank by total paid#40 of 160

Median peer was paid$1K

This provider vs. median18×

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	188	$3K
2019	280	$4K
2020	210	$5K
2021	92	$2K
2022	69	$3K
2023	71	$3K
2024incomplete	34	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	44%	510	470	$9K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	36%	154	149	$8K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	12%	254	245	$2K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	5.7%	12	12	$1K
99282	Emergency department visit for the evaluation and management, low to moderate severity	2.1%	14	14	$435.13

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.