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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJose Rivero
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    Jose Rivero — Billing Profile & Reimbursement Data

    NPI 1881694065 · Christiansburg, VA · Cardiovascular Disease Physician

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    Jose Rivero is a cardiovascular disease physician provider located in Christiansburg, Virginia. This profile covers 30 Medicare and 1 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 Rivero
    Address1201 Elm St
    CityChristiansburg
    StateVA
    ZIP24073
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedJuly 28, 2005

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

    Payer SourceTotal Paid
    Medicare$98.3K
    Medicaid$870

    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.

    30 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…370$50$17.8K
    93294The provider, a physician or other qualified health care professional, remotely analyzes, for a period up to 90 days, the function of a single, dual, multiple lead, or leadless pacemaker system,…470$20$9.8K
    93296The technician gathers data, for a period of up to 90 days, from a patient’s single, dual, multiple lead, or leadless pacemaker system or implantable defibrillator system by remotely accessing the…570$20$9.2K
    33208The provider inserts or replaces a permanent pacemaker and implants electrodes into the right atrium and right ventricle.20$390$9K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.1,360$10$6.8K
    G2066Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system,…90$50$4.8K
    78451In this procedure, the provider performs a single SPECT study of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…100$40$4.4K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…400$10$4K
    33228The provider removes a previously placed pacemaker pulse generator from the patient and replaces it with a new one. The provider performs this procedure primarily for artificial regulation of heart…10$260$3.6K
    93280In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted dual lead pacemaker system.  He changes various operating…80$40$3.6K

    Showing 1–10 of 30

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    30 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93306231580300$80$26.2K
    33208559030$520$17.3K
    7845223041070$180$17.2K
    G20663450160$40$14.2K
    33228173020$690$12.3K
    9329449160290$20$7.9K
    932961980170$20$6.1K
    9329576130150$30$5.1K
    7845131040$90$4.9K
    932808718080$40$4.8K

    Showing 1–10 of 30

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.130$10$800

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Virginia median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.159280190$1$32.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carilion Medical CenterVAMulti-Specialty Clinic/Center$0$73.4M
    Carilion Healthcare CorporationVAMulti-Specialty Clinic/Center$0$26.1M
    Carilion Franklin Memorial HospitalVAGeneral Acute Care Hospital$0$18.4M
    Carilion Medical CenterVAEmergency Medicine Physician$0$18.1M
    Carilion Rockbridge Community HospitalVACritical Access Hospital$0$11.8M
    Carilion Giles Community HospitalVACritical Access Hospital$0$10.3M
    Carilion Tazewell Community HospitalVAGeneral Acute Care Hospital$0$8M
    Shaya AnsariNYDiagnostic Radiology Physician$1.5M$1K
    Jeffery ShayGUVascular & Interventional Radiology Physician$987.8K$0
    Mrunal TailorNMDiagnostic Radiology Physician$897.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Alternatives Virginia, Inc.VACommunity/Behavioral Health Agency$0$58.6M
    Carilion New River Valley Medical CenterVAGeneral Acute Care Hospital$0$32.4M
    National Counseling Group, IncVACounselor$0$6.4M
    Med-trans CorporationVAAir Ambulance$842.5K$1M
    Jerome GoldschmidtVAHematology & Oncology Physician$870.1K$90
    Heather BrooksVAHematology & Oncology Physician$779.2K$0
    Tedd PuckettVAOphthalmology Physician$759.5K$0
    Carilion Surgery Center New River Valley, LLCVAAmbulatory Surgical Clinic/Center$673.5K$0
    Tejal RajuVAAnesthesiology Physician$634.7K$0
    Mustali DohadwalaVACardiovascular Disease Physician$391K$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. Virginia Distribution
    Jose Rivero — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia
    Medicaid Revenue by Year vs. Virginia Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    Jose Rivero — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia