Rivera, Renato

Rivera, Renato was paid $1K by Medicaid between Jan 2018 and Jan 2018, across 3 billing codes. Its largest line is 94375, — 47% of everything it billed.

33Billing provider infoRIVERA, RENATO
CAGUAS, PR 00725

33aNPI1992787634assigned 11/17/2005

33bProvider typePediatric Pulmonology Physician

28Total paid$1K

24GClaims54

24DCodes billed3

24AFirst – last monthJan 2018 – Jan 2018

Compared with peers

Next to other Pediatric Pulmonology Physician providers in Puerto Rico

Rank by total paid#12 of 12

Median peer was paid$23K

This provider vs. median0.1×

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	54	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
94375		47%	15	14	$637.50
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	36%	24	23	$480.00
94200		17%	15	14	$225.00

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.