Rivera, Carlos
Rivera, Carlos was paid $67K by Medicaid between Jan 2018 and Jan 2021, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.
33Billing provider infoRIVERA, CARLOS
LONG BRANCH, NJ 07740
LONG BRANCH, NJ 07740
33aNPI1992741326assigned 06/22/2006
33bProvider typeLegal Medicine
28Total paid$67K
24GClaims2,378
24DCodes billed3
24AFirst – last monthJan 2018 – Jan 2021
Compared with peers
Next to other Legal Medicine providers in New Jersey
Rank by total paid#10 of 15
Median peer was paid$168K
This provider vs. median0.4×
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 | 880 | $23K | |
| 2019 | 800 | $24K | |
| 2020 | 672 | $19K | |
| 2021 | 26 | $458.74 |
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 | 100% | 2,184 | 1,446 | $66K |
| 81002 | <1% | 110 | 100 | $156.62 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 84 | 83 | $81.46 |
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.