Dr. Michael Rivera, MD
3310 W Main St Ste 100, St Charles, IL 60175 • +1-749-555-4203
Medical Education: Accredited U.S. Medical School (Class of 2010)
What This Doctor Actually Performs: CMS Medicare Utilization & St Charles Percentiles
NPI #1447304282 • CBSA Regional • Family Practice
Dr. Michael Rivera, MD (NPI #1447304282) practices Family Practice in St Charles, IL (60175) with sub-specialty concentration in 94 Active CMS HCPCS Codes, recording 11,626 annual CMS services across 323 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (88.89th St Charles percentile) (+0.45σ vs IL state mean, 97.61th statewide percentile).
Dr. Rivera's longitudinal care intensity (36.0 billed units per patient across 323 individuals) centers on 99214 (1422 annual units) and 99213 ($35–$50 cash range).
Cash-pay intake data for NPI 1447304282 (3310 W Main St Ste 100, St Charles) indicates $218.00 typical out-of-pocket visit spend against a $218.00 locality benchmark, paired with 20-minute average reception wait and 4.81/5 biomarker openness.
Patients evaluating Dr. Michael Rivera in ZIP 60175 note 16 years of post-doctoral tenure (null, 2010) alongside 36.0 annual CMS procedures per patient.
Compared against St Charles, IL Family Practice peers
11,626 annual services across 323 beneficiaries
Standard deviations from IL Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 1,422 | 88.89th | $45 – $62 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 1,049 | 83.89th | $35 – $50 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 406 | 92.89th | $52 – $71 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 305 | 90.89th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 203 | 86.89th | $62 – $85 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (94 HCPCS billing breadth) | 8,241 | 88.89th | $45 – $65 |
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Dr. Michael Rivera, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Rivera National Provider Identifier | NPI #1447304282 (MD) | CMS NPPES Registry (60175) |
| Dr. Rivera St Charles CMS Volume Rank | 88.89th Pct (11,626 CMS svcs; Z +0.445σ) | CMS Medicare Part B (IL Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (St Charles, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 20 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.96/5 Listening • 4.81/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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