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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRoxana Rivera
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    Roxana Rivera — Billing Profile & Reimbursement Data

    NPI 1780812495 · Blue Ash, OH · Ophthalmology Physician

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    Roxana Rivera is a ophthalmology physician provider located in Blue Ash, Ohio. This profile covers 22 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
    OrganizationRoxana Rivera
    Address1945 Cei Dr
    CityBlue Ash
    StateOH
    ZIP45242
    TaxonomyOphthalmology Physician
    NPI EnumeratedJuly 1, 2009

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

    Payer SourceTotal Paid
    Medicare$216K
    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    15823In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…100$610$61.2K
    67908The provider performs a procedure such as the Fasanella–Servat procedure, which involves resection and plication of the levator/Muller muscles along with the tarsus and the conjunctiva to treat…50$400$19.6K
    99214The 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…220$90$19.1K
    99213The 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…290$60$17K
    67900The provider repairs a drooping eyebrow due to muscle weakness or paralysis, to improve cosmetic appearance or remove the obstruction to a patient’s vision. He makes an incision immediately above the…30$540$14.1K
    67840In this procedure, the provider excises a diseased or damaged area from the eyelid, excluding a chalazion, an inflamed oil gland. If necessary, he closes the wound with sutures.60$210$11.7K
    J0585Injection, onabotulinumtoxina, 1 unit2,230$10$11.1K
    99204The provider sees a new 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 provider…100$100$10.2K
    14060The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.20$360$8.2K
    68840This procedure is the probing of the lacrimal canaliculi with or without irrigation.60$130$7.5K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0585911007,600$1$52.1K
    15823125050$500$35.8K
    67900193040$440$21.5K
    15260364020$690$21.4K
    6790831030$470$16.9K
    14060276020$550$14.8K
    6795051020$360$12.8K
    992144,82220,010100$70$11.7K
    67917112020$370$11.2K
    992131,99920,00070$50$6.6K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Children's Hospital Medical CenterOHChildren's Hospital$0$386.8M
    University Hospitals Medical Group IncOHMulti-Specialty Clinic/Center$0$107.5M
    Children's Hospital Medical CenterOHPediatrics Physician$0$91.2M
    Ohiohealth CorporationOHFamily Medicine Physician$0$89.1M
    University Primary Care Practices IncOHInternal Medicine Physician$0$78.7M
    University Of Cincinnati Physicians Company, LLCOHFamily Medicine Physician$0$65.2M
    Children's Hospital Medical CenterOHHome Infusion Therapy Pharmacy$0$57M
    Children's Hospital Medical CenterOHDurable Medical Equipment & Medical Supplies$0$51.1M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Partners Physician GroupOHSurgery Physician$0$28.5M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maxim Healthcare Services, Inc.OHHome Health Agency$0$63.6M
    Bethesda Hospital IncOHGeneral Acute Care Hospital$0$57M
    Hospice Of Cincinnati IncorporatedOHCommunity Based Hospice Care Agency$0$54M
    Carestar, Inc.OHCase Management Agency$0$43.1M
    Counseling Source IncOHMental Health Counselor$0$41M
    Mercy Health Physicians Cincinnati, LLCOHFamily Medicine Physician$0$27.9M
    Qualified Emergency Specialists IncOHEmergency Medicine Physician$0$18.9M
    Crossroads Hospice Of CincinnatiOHCommunity Based Hospice Care Agency$0$14.6M
    A Best Home Care,inc.OHHome Health Agency$0$10.4M
    Cei Physicians Psc LLCOHOphthalmology Physician$0$8.5M

    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. Ohio Distribution
    Roxana Rivera — 0 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio