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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRicardo Rivera Fernandez
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    Ricardo Rivera Fernandez — Billing Profile & Reimbursement Data

    NPI 1609152701 · Fajardo, PR · Diagnostic Radiology Physician

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    Ricardo Rivera Fernandez is a diagnostic radiology physician provider located in Fajardo, Puerto Rico. This profile covers 19 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRicardo Rivera Fernandez
    Address316 Ave General Valero
    CityFajardo
    StatePR
    ZIP00738
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedNovember 2, 2011

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

    Payer SourceTotal Paid
    Medicare$54.2K
    Medicaid$0

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.70$110$7.8K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.90$80$7.1K
    74178The 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…20$290$6K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.30$160$4.4K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.130$30$4K
    76770A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is…50$70$3.6K
    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.50$70$3.4K
    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.40$90$3.1K
    71275In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…50$70$3K
    70498The provider injects contrast material into a peripheral vein and images the blood vessels in the patient's neck using computed tomographic scanning. Noncontrast images, if performed, are included in…10$190$2.4K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    7127541050$70$6.6K
    7417842020$210$4.2K
    7049841060$70$4K
    7417763020$80$3.7K
    7214894020$110$3.7K
    7049641050$60$3K
    74176126030$70$2.9K
    7417441020$80$2.4K
    7045076030$30$2K
    7125035020$60$2K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Kambiz ShamlouFLDiagnostic Radiology Physician$1.4M$0
    Thomas YuschokFLDiagnostic Radiology Physician$1.2M$0
    Jacqueline BernardFLDiagnostic Radiology Physician$883K$0
    St Thomas Radiology Associates LLCVIDiagnostic Radiology Physician$0$813K
    Hiren ShahGACardiovascular Disease Physician$757.1K$0
    Ameneh MashayekhFLDiagnostic Radiology Physician$725.9K$0
    Shane DarrahGAInterventional Cardiology Physician$700K$0
    Amanda AullsFLDiagnostic Radiology Physician$647.6K$0
    Ridgely MeyersCADiagnostic Radiology Physician$599.1K$2.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Laboratorio Clinico Y De Ref De Fajardo IncPRClinical Medical Laboratory$26.2K$2.8M
    Servicios Medicos Integrados De Fajardo, P.s.c.PRGeneral Practice Physician$0$2.8M
    Centro C.i.e.h.l.o.inc.PRHearing and Speech Clinic/Center$0$1.6M
    Jrc Maxillofacial Services,pscPROral and Maxillofacial Surgery (Dentist)$0$1.5M
    Caribe Physicians Plaza CorporationPRGeneral Acute Care Hospital$0$1.4M
    Fajardo Imaging IncPRMagnetic Resonance Imaging (MRI) Clinic/Center$0$1.2M
    Continuum Mental Care CorpPRMental Health Clinic/Center (Including Community Mental Health Center)$0$972.3K
    Jose J Lopez Agudo Oftalmologo CspPROphthalmology Physician$0$763.5K
    Laboratorio Clinico Fajardo, Inc.PRClinical Medical Laboratory$19.6K$691K
    Luis Arraut-ramirezPRInternal Medicine Physician$0$651.3K

    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
    Ricardo Rivera Fernandez — 1 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico