Rivadeneira, Wanda

Rivadeneira, Wanda was paid $20.00 by Medicaid between Feb 2018 and Jun 2018, across 10 billing codes. Its largest line is 87804, Infectious agent antigen detection by immunoassay; Influenza, each type — 100% of everything it billed.

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	395	$20.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	100%	82	28	$20.00
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	0%	83	67	$0.00
92551		0%	17	13	$0.00
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%	72	61	$0.00
94760		0%	34	25	$0.00
99000		0%	18	13	$0.00
96110	Developmental screening, with scoring and documentation, per standardized instrument	0%	23	14	$0.00
90461		0%	16	14	$0.00
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	0%	23	16	$0.00
90460	Immunization administration through 18 years of age via any route, first or only component	0%	27	22	$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.