Physician
Zambrana Rivera, Jose
Zambrana Rivera, Jose was paid $78K by Medicaid between Feb 2022 and Aug 2024, across 2 billing codes. Its largest line is 99234, — 87% of everything it billed.
33Billing provider infoZAMBRANA RIVERA, JOSE
PONCE, PR 00780
PONCE, PR 00780
33aNPI1972149540assigned 11/19/2019
33bProvider typeGeneral Practice Physician
28Total paid$78K
24GClaims1,020
24DCodes billed2
24AFirst – last monthFeb 2022 – Aug 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#207 of 1,195
Median peer was paid$2K
This provider vs. median38×
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 | |
|---|---|---|---|
| 2022 | 605 | $40K | |
| 2023 | 331 | $30K | |
| 2024incomplete | 84 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99234 | 87% | 760 | 707 | $68K | |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 13% | 260 | 207 | $10K |
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.