RAFAEL RIVERA-RIVERA, MD
Critical Care Medicine (Internal Medicine) Physician · WICHITA FALLS, TX
Individual Active NPI 1669432209
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 685 | 5,926 | $824,968 | $451,821 | $352,857 |
| 2023 | 606 | 8,819 | $811,810 | $455,992 | $358,376 |
| 2022 | 551 | 8,551 | $905,458 | $503,639 | $393,875 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 431 | $123 | $90 |
| 99291 | Critical care, first 30-74 minutes | 417 | $201 | $160 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 199 | $113 | $87 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 166 | $75 | $59 |
| 94618 | Test for exercise-induced lung stress | 91 | $33 | $24 |
| 94729 | Test to examine how well the lungs exchange gases | 89 | $53 | $42 |
| 94726 | Test to determine lung volumes using sensors | 87 | $53 | $40 |
| 96372 | Injection of drug or substance under skin or into muscle | 86 | $14 | $10 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 86 | $174 | $134 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 50 | $37 | $29 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 48 | $166 | $121 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 44 | $86 | $56 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | ✓ | J3890 | TX |
| Pulmonary Disease Physician | 207RP1001X | J3890 | TX |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.