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    OpenPayerNPI Medicare & MedicaidJose Rivera
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    Jose Rivera — Billing Profile & Reimbursement Data

    NPI 1417956954 · Yauco, PR · Diagnostic Radiology Physician

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    Jose Rivera is a diagnostic radiology physician provider located in Yauco, Puerto Rico. This profile covers 16 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJose Rivera
    Address32 Calle Mattei Lluberas
    CityYauco
    StatePR
    ZIP00698
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedJuly 18, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$20.4K
    Medicaid$11.5K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.30$160$4.5K
    74176The 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.10$150$2.1K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.10$140$2K
    77066The provider performs X–ray imaging on both breasts in a patient with a lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential abnormalities…20$110$1.9K
    76641In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.30$70$1.9K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.20$80$1.5K
    77080The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…30$40$1.2K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…40$30$1.1K
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…30$30$730
    73565In this procedure, the provider takes X–ray images of a patient’s knees while the patient is in a standing position facing the X–ray machine to check for any fracture, swelling, or reason for pain in…20$30$600

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    77066334040$90$4.4K
    76641436050$70$4.3K
    7372163020$90$3.9K
    72148274020$110$3.7K
    74176466030$70$2.9K
    76536296020$70$1.7K
    77080306030$30$1.4K
    71045579050$10$760
    73560295030$20$670
    7356521020$30$640

    Showing 1–10 of 16

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…130$30$3.8K
    76641In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.60$40$2.6K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…70$30$1.8K
    77080The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…90$20$1.7K
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…50$20$1.1K
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…40$20$620
    76700An 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…10$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Puerto Rico providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Puerto Rico median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…1241501,180$70$170.3K
    76641In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.159180890$70$145.5K
    76700An 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…220230510$60$61K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…226260850$10$27.8K
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…189220470$10$22.6K
    77080The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…74100280$30$15.9K
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…171210320$20$14.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Yauco Healthcare CorporationPRGeneral Acute Care Hospital$0$943K
    Francisco LazagaCADiagnostic Radiology Physician$135.8K$0
    Jeffrey ZuckermanPRDiagnostic Radiology Physician$131.1K$2.1K
    Pedro Gonzalez TorresPRDiagnostic Radiology Physician$38.1K$0
    Manuel Prats VegaPRSpecialist$28.1K$0
    Josue Vazquez DelgadoPRDiagnostic Radiology Physician$26.4K$0
    Carlos Mendez-busoPRDiagnostic Radiology Physician$19.7K$0
    Ricardo De Jesus GomezPRDiagnostic Radiology Physician$19.6K$0
    Pedro Diaz OrtizPRNeuroradiology Physician$13.7K$0
    Salvador Mercado MercadoPRVascular & Interventional Radiology Physician$9.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bone Fix Innovation IncPRProsthetic/Orthotic Supplier$0$2.7M
    Zoraida OrtizPRPediatric Dentistry$0$1.9M
    Laboratorio Clinico C & C , CspPRClinical Medical Laboratory$14.3K$1.5M
    Medical X Ray Center YaucoPRRadiology Clinic/Center$0$1.5M
    Carpe Diem, IncPRClinical Medical Laboratory$9.6K$1.2M
    Inspira Behavioral Care Corp.PRAdult Mental Health Clinic/Center$0$1.1M
    Jorge Baez TorresPRPhysical Medicine & Rehabilitation Physician$790$992.3K
    Laboratorio Clinico Catala VicentePRClinical Medical Laboratory$2.4K$863.5K
    Xavier Quinones De JesusPROphthalmology Physician$0$832.8K
    Walgreen Co.PRPharmacy$72.1K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Puerto Rico Distribution
    Jose Rivera — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico
    Medicaid Revenue by Year vs. Puerto Rico Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Puerto Rico Distribution
    Jose Rivera — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico