Dr. Sebastian Rivera, MD
25 W Crystal Lake St Ste 200, Orlando, FL 32806 • +1-905-555-2399
Medical Education: Accredited U.S. Medical School (Class of 2005)
What This Doctor Actually Performs: CMS Medicare Utilization & Orlando Percentiles
NPI #1164884540 • CBSA Regional • Orthopedic Surgery
Within the Orlando, FL (CBSA local) Orthopedic Surgery cohort, Dr. Sebastian Rivera, MD with sub-specialty concentration in 34 Active CMS HCPCS Codes ranks at the 14.58th municipal percentile and 12.24th FL percentile (-0.44σ Z-score) based on 997 billed procedures for 277 patients.
Granular CPT/HCPCS billing distribution at 25 W Crystal Lake St Ste 200 shows Dr. Sebastian Rivera's primary concentration in Focused Orthopedic Joint & Spine Mobility Evaluation (code 99213: 311x/yr, 14.58th local percentile) alongside Major Joint (Knee/Shoulder/Hip) Aspiration or Injection (20610: 233x/yr, $154–$211).
Cash-pay intake data for NPI 1164884540 (25 W Crystal Lake St Ste 200, Orlando) indicates $216.00 typical out-of-pocket visit spend against a $216.00 locality benchmark, paired with 13-minute average reception wait and 4.90/5 biomarker openness.
Credentialed as an MD specialist with 21 years post-graduation experience since completing medical school at an LCME/COCA institution (2005), Dr. Rivera coordinates 34 Active CMS HCPCS Codes workups from 25 W Crystal Lake St Ste 200 (+1-905-555-2399).
Compared against Orlando, FL Orthopedic Surgery peers
997 annual services across 277 beneficiaries
Standard deviations from FL Orthopedic Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Orthopedic Joint & Spine Mobility Evaluation | 311 | 14.58th | $145 – $198 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 233 | 12.58th | $154 – $211 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 164 | 18.58th | $87 – $119 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 95 | 13.58th | $208 – $284 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 60 | 15.58th | $1337 – $1832 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (34 HCPCS billing breadth) | 133 | 14.58th | $163 – $236 |
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Dr. Sebastian Rivera, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Rivera National Provider Identifier | NPI #1164884540 (MD) | CMS NPPES Registry (32806) |
| Dr. Rivera Orlando CMS Volume Rank | 14.58th Pct (997 CMS svcs; Z -0.437σ) | CMS Medicare Part B (FL Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $216.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Orlando, FL) |
| Waiting-Room Wait Time & Cash Friendliness | $216.00 avg paid • 13 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.71/5 Listening • 4.90/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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