Clinic
Richard Rivera MDPC
Richard Rivera MDPC was paid $4.29M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoRICHARD RIVERA MDPC
PUEBLO, CO 81001
PUEBLO, CO 81001
33aNPI1992973473assigned 02/18/2008
33bProvider typeHealth Service Clinic/Center
28Total paid$4.29M
24GClaims97,903
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Health Service Clinic/Center providers in Colorado
Rank by total paid#1 of 12
Median peer was paid$14K
This provider vs. median303×
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 | 13,865 | $581K | |
| 2019 | 14,547 | $655K | |
| 2020 | 10,771 | $482K | |
| 2021 | 12,484 | $595K | |
| 2022 | 12,547 | $647K | |
| 2023 | 17,172 | $747K | |
| 2024incomplete | 16,517 | $584K |
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 | 50% | 35,133 | 29,878 | $2.15M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 23% | 11,168 | 9,829 | $968K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.9% | 2,543 | 2,349 | $211K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.4% | 1,129 | 1,052 | $146K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.9% | 3,265 | 2,924 | $123K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.6% | 1,266 | 1,158 | $111K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.8% | 5,932 | 5,133 | $78K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.7% | 4,073 | 3,901 | $72K |
| 87400 | 1.7% | 6,266 | 2,776 | $72K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 1.5% | 962 | 891 | $66K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 584 | 542 | $47K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 572 | 525 | $46K |
41 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 412 | $36K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 715 | $23K |
| 81000 | <1% | 6,121 | $22K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 227 | $20K |
| 81025 | <1% | 2,248 | $17K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,216 | $15K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 1,295 | $14K |
| 20610 | <1% | 197 | $11K | |
| 87420 | <1% | 682 | $8K | |
| 90686 | <1% | 1,108 | $5K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 337 | $5K |
| 96127 | <1% | 289 | $3K | |
| A4550 | Surgical trays | <1% | 176 | $3K |
| 90688 | <1% | 196 | $3K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 227 | $2K |
| 85018 | <1% | 2,515 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 13 | $1K |
| 81002 | <1% | 937 | $1K | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 144 | $1K |
| 87210 | <1% | 922 | $810.94 | |
| 90649 | <1% | 376 | $787.91 | |
| 90716 | <1% | 253 | $532.47 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 42 | $408.33 |
| 90670 | <1% | 418 | $391.93 | |
| 90658 | <1% | 111 | $379.35 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 32 | $344.59 |
| 87807 | <1% | 33 | $342.16 | |
| 90707 | <1% | 229 | $322.50 | |
| 90734 | <1% | 235 | $286.64 | |
| 90715 | <1% | 198 | $240.72 | |
| 90713 | <1% | 794 | $172.41 | |
| 90700 | <1% | 984 | $111.10 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 38 | $110.89 |
| 82948 | <1% | 575 | $17.50 | |
| 90648 | 0% | 425 | $0.00 | |
| 90681 | 0% | 24 | $0.00 | |
| 90685 | 0% | 56 | $0.00 | |
| 90633 | 0% | 77 | $0.00 | |
| 90744 | 0% | 108 | $0.00 | |
| 90677 | 0% | 12 | $0.00 | |
| 90632 | 0% | 13 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialRIVERA, RICHARD (OWNER)