Physician
Mary Hall MD Francisco Rivera MD and Associates PSC
Mary Hall MD Francisco Rivera MD and Associates PSC was paid $130K by Medicaid between Jan 2018 and Nov 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 98% of everything it billed.
33Billing provider infoMARY HALL MD FRANCISCO RIVERA MD AND ASSOCIATES PSC
MC DOWELL, KY 41647
MC DOWELL, KY 41647
33aNPI1952412173assigned 08/31/2006
33bProvider typeSurgery Physician
28Total paid$130K
24GClaims4,691
24DCodes billed2
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Surgery Physician providers in Kentucky
Rank by total paid#11 of 34
Median peer was paid$20K
This provider vs. median6.6×
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 | 1,067 | $34K | |
| 2019 | 925 | $27K | |
| 2020 | 776 | $21K | |
| 2021 | 652 | $17K | |
| 2022 | 491 | $12K | |
| 2023 | 444 | $10K | |
| 2024incomplete | 336 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 98% | 4,555 | 3,913 | $127K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 136 | 111 | $3K |
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.
From NPPES
Who's on the registration
Authorized officialHALL, MARY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| MGH Healthcare, LLC | Warren, OH | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.