Rivera Espineira, Gabriel

Rivera Espineira, Gabriel was paid $653K by Medicaid between Oct 2020 and Nov 2024, across 4 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 45% of everything it billed.

33Billing provider infoRIVERA ESPINEIRA, GABRIEL
BAYAMON, PR 00959

33aNPI1982023503assigned 04/10/2014

33bProvider typeSurgery Physician

28Total paid$653K

24GClaims4,489

24DCodes billed4

24AFirst – last monthOct 2020 – Nov 2024

Compared with peers

Next to other Surgery Physician providers in Puerto Rico

Rank by total paid#2 of 111

Median peer was paid$28K

This provider vs. median23×

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
2020	150	$18K
2021	830	$104K
2022	739	$85K
2023	1,446	$217K
2024incomplete	1,324	$228K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	45%	2,131	1,719	$295K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	34%	1,795	1,169	$221K
36573		21%	550	422	$136K
36556		<1%	13	12	$2K

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.