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 Rhode Island for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

Mayra Rivera (NPI 1427714096)

Field	Value
Entity Type	Individual
Organization	Mayra Rivera
Address	375 Wampanoag Trl
City	Riverside
State	RI
ZIP	02915
Taxonomy	Family Nurse Practitioner
NPI Enumerated	November 9, 2021

Payer Source	Total Paid
Medicare	$25.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	140	$120	$15.8K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	60	$80	$4.7K
95251	A provider analyzes and interprets data from a patient’s continuous glucose monitor (CGM) and writes a report based on interpretation. This code represents the professional component of the service…	140	$20	$3.1K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	20	$50	$860
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	60	$10	$600
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	20	$20	$260
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	20	$10	$170

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Rhode Island Distribution

Mayra Rivera — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,243	1,950	100	$80	$11.7K
99213	1,778	1,950	70	$60	$7.4K
99215	36	460	30	$110	$5.7K
95251	3	20	70	$20	$2K
83036	34	190	30	$10	$1.2K
99211	26	40	20	$20	$710
96372	45	60	50	$10	$670

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Edward Medeiros	RI	Nephrology Physician	$87.2K	$6.8M
Susie Hu	RI	Nephrology Physician	$30.9K	$911.1K
Joseph Garland	RI	Infectious Disease Physician	$17.4K	$743.1K
Gabrielle Burke	RI	Family Nurse Practitioner	$3.6K	$439.4K
Brown Medicine	RI	Internal Medicine Physician	$0	$351K
Brown Medicine	RI	Ambulatory Surgical Clinic/Center	$218.5K	$0
Franklin Mccool	RI	Pulmonary Disease Physician	$56.2K	$102.6K
Valerie Thomas	RI	Endocrinology, Diabetes & Metabolism Physician	$131.6K	$40
Thomas Sepe	RI	Gastroenterology Physician	$100K	$29.4K
Jason Aliotta	RI	Pulmonary Disease Physician	$40.3K	$63.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emma Pendleton Bradley Hospital	RI	Psychiatric Hospital	$0	$37.6M
East Bay Community Action Program	RI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$20.5M
Emma Pendleton Bradley Hospital	RI	Psychiatric Hospital	$0	$5M
Health Care Connections Nursing Services, Inc	RI	Home Health Agency	$0	$3.6M
City Of East Providence	RI	Local Education Agency (LEA)	$0	$2.2M
East Bay Community Action Program	RI	Community/Behavioral Health Agency	$0	$2.2M
East Bay Community Action Program	RI	Community Health Clinic/Center	$0	$1.5M
Amerita Inc	RI	Home Infusion Therapy Pharmacy	$0	$1.1M
Care Resource, LLC	RI	Home Health Agency	$0	$1.1M
City Of East Providence	RI	Local Education Agency (LEA)	$0	$768.1K

Mayra Rivera — Billing Profile & Reimbursement Data

Sign up for Mayra Rivera — Billing Profile & Reimbursement Data policy alerts

Mayra Rivera — Billing Profile & Reimbursement Data

Sign up for Mayra Rivera — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References