Rivas, Carlos

Rivas, Carlos was paid $50K by Medicaid between Jan 2018 and Aug 2020, across 7 billing codes. Its largest line is 99283, emergency room visit (moderate) — 30% of everything it billed.

33Billing provider infoRIVAS, CARLOS
CAPE GIRARDEAU, MO 63703

33aNPI1942261052assigned 03/29/2006

33bProvider typeGeneral Practice Physician

28Total paid$50K

24GClaims975

24DCodes billed7

24AFirst – last monthJan 2018 – Aug 2020

Compared with peers

Next to other General Practice Physician providers in Missouri

Rank by total paid#20 of 69

Median peer was paid$11K

This provider vs. median4.4×

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	499	$31K
2019	335	$14K
2020	141	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	30%	388	385	$15K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	23%	110	108	$11K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	21%	150	149	$11K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	21%	229	154	$10K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	2.6%	64	59	$1K
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	2.5%	18	14	$1K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	16	15	$195.00

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.