Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Puerto Rico for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Puerto Rico only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Puerto Rico (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Ricardo Rivera (NPI 1255301214)

Field	Value
Entity Type	Individual
Organization	Ricardo Rivera
Address	400 Ave Domenech
City	San Juan
State	PR
ZIP	00918
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	January 24, 2006

Payer Source	Total Paid
Medicare	$155.8K
Medicaid	$0

Key Findings

This provider is effectively single-payer in the available data: total Medicare revenue is $155.8K and there is no Medicaid billing on file. The absence of any Medicaid claims means the provider’s scale and payer exposure are concentrated in Medicare dollars only, which compresses payer-mix diversification and places reimbursement sensitivity squarely on Medicare volumes and rates.

Revenue concentration is meaningful within Medicare: the top 3 Medicare codes by revenue account for 28.7% of this provider’s total Medicare revenue. Those top three codes are 72148 ($14.7K), 73721 ($12.9K), and 70551 ($11.6K), indicating that a little over a quarter of Medicare revenue is driven by a small set of MRI studies.

The code mix identifies a broad diagnostic radiology practice centered on cross-sectional imaging and ultrasound. High-revenue and frequently reported codes include MRI of the lumbar spine (72148, 102 claims), lower extremity MRI (73721, 84 claims), brain MRI (70551, 77 claims), multiple CT abdominal/pelvic and thorax codes (74178, 74176, 71250), and a cluster of ultrasound and vascular studies (76700, 76770, 76881, 93970). This pattern is consistent with a radiologist performing a range of MRI/CT services alongside substantial ultrasound and plain radiography work.

For major MRI codes the provider’s national standing is modest: 72148 ranks #3982 of 14990 (73th percentile; typical, unremarkable volume), 73721 ranks #2229 of 9329 (76th percentile; typical, unremarkable volume), and 70551 ranks #4495 of 13508 (66th percentile; typical, unremarkable volume). These percentiles indicate routine, regionally competitive MRI activity rather than national dominance in those exams.

In contrast, certain ultrasound and plain radiography services show comparatively stronger volume versus national peers: 76700 ranks #1850 of 12347 (85th percentile; typical, unremarkable volume), 73560 ranks #1619 of 20451 (92th percentile; typical, unremarkable volume), 76377 ranks #600 of 3278 (81th percentile; typical, unremarkable volume), and 76881 ranks #359 of 1606 (77th percentile; typical, unremarkable volume). This suggests local strength in ultrasound, plain films, and image postprocessing services that may form a stable referral base.

Several codes register low relative activity, highlighting service gaps or limited demand in those niche areas: 70544 ranks #3557 of 4160 (7th percentile; typical, unremarkable volume), 93880 ranks #18927 of 21316 (9th percentile; typical, unremarkable volume), 74183 ranks #5099 of 7242 (28th percentile; typical, unremarkable volume), and 70553 ranks #7467 of 11271 (33th percentile; typical, unremarkable volume). These low percentiles indicate the provider does not materially participate in certain angiographic MR or specific duplex arterial services compared with peers.

Tenure data show the NPI was enumerated on 2006-01-24 (~20 years ago), indicating long-standing registration in Medicare. This duration supports an established billing history and suggests the provider has had sustained clinical presence over multiple Medicare payment cycles.

From a business and risk perspective, the modest Medicare scale ($155.8K) combined with no Medicaid billing implies limited Medicare revenue scale and concentrated payer exposure. Operationally, reliance on a cluster of MRI, CT, ultrasound, and radiography codes—with the top three MRI codes accounting for 28.7% of Medicare revenue—means changes in referral patterns for those imaging modalities would materially affect revenues; conversely, the relatively strong ultrasound and radiography percentiles point to potential local strengths to build on.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

46 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	100	$140	$14.7K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	80	$150	$12.9K
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	80	$150	$11.6K
74178	The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional…	40	$270	$10.8K
71250	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.	80	$100	$7.9K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	30	$260	$7.7K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	50	$130	$6.5K
73221	In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…	40	$150	$6.3K
76700	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	80	$80	$6.2K
74183	The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.	20	$260	$5.5K

Showing 1–10 of 46

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 46 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Ricardo Rivera — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Puerto Rico

Full comparison — all codes billed, vs. state median

46 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
74183	3	10	20	$210	$5.1K
70553	2	10	20	$200	$4.5K
73221	2	10	20	$80	$4.3K
74178	1	20	20	$210	$4.2K
73721	2	30	20	$90	$3.9K
72148	2	40	20	$110	$3.7K
93925	19	40	20	$150	$3.5K
70551	2	30	20	$110	$3.2K
93970	14	50	20	$110	$3K
74176	14	60	30	$70	$2.9K

Showing 1–10 of 46

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ricardo Rivera, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
San Francisco Health System Inc	PR	General Acute Care Hospital	$0	$1.3M
Ubaldo Santiago Buono	PR	Geriatric Medicine (Internal Medicine) Physician	$11.5K	$1.2M
Jeffrey Zuckerman	PR	Diagnostic Radiology Physician	$131.1K	$2.1K
Fernando Lopez Rodriguez	PR	Neuroradiology Physician	$41.6K	$37.6K
Reynerio Perez Ramirez	PR	Cardiovascular Disease Physician	$47.7K	$3.1K
Jose Torres-acevedo	PR	Cardiovascular Disease Physician	$26.2K	$2.6K
Josue Vazquez Delgado	PR	Diagnostic Radiology Physician	$26.4K	$0
Yvelisse Gonzalez Segui	PR	Diagnostic Radiology Physician	$26.4K	$0
Baruch Caballero-valiente	PR	Cardiovascular Disease Physician	$19.4K	$0
Horacio Colon Esteva	PR	Diagnostic Radiology Physician	$17.2K	$0

Nearby Providers

Other providers in the same ZIP code as Ricardo Rivera, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratorio De Patologia Dr Noy	PR	Anatomic Pathology Physician	$0	$45.7M
Hato Rey Pathology Associates Inc	PR	Clinical Medical Laboratory	$58.5K	$42M
Home Orthopedics Corp	PR	Prosthetic/Orthotic Supplier	$0	$20.7M
Orthobone, Inc	PR	Customized Equipment (DME)	$0	$15.5M
Smith & Nephew Inc.	PR	Prosthetic/Orthotic Supplier	$0	$12M
Laboratorio Clinico Noy Inc	PR	Clinical Medical Laboratory	$76.1K	$9.9M
Servicios Radiologicos Asociados Jorge Perez Brais	PR	Diagnostic Radiology Physician	$0	$2.9M
Luis Torres Vera	PR	Allergy Physician	$21.5K	$2.7M
Inspira Psychiatric Services Psc	PR	Adult Mental Health Clinic/Center	$0	$2.5M
Frankie Alvarado	PR	Pulmonary Disease Physician	$7.3K	$2.4M

Ricardo Rivera — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References