Dr. Anthony Rivera, MD
123 Summer St, Suite 320, Worcester, MA 01608 • +1-643-555-2818
Medical Education: Accredited U.S. Medical School (Class of 2018)
What This Doctor Actually Performs: CMS Medicare Utilization & Worcester Percentiles
NPI #1487860524 • CBSA Regional • Physical Medicine and Rehabilitation
Within the Worcester, MA (CBSA local) Physical Medicine and Rehabilitation cohort, Dr. Anthony Rivera, MD with sub-specialty concentration in 39 Active CMS HCPCS Codes ranks at the 61.54th municipal percentile and 65.03th MA percentile (-0.26σ Z-score) based on 2,244 billed procedures for 270 patients.
Medicare Part B line-item claims for Dr. Anthony Rivera (01608) place 99214 at the top of the practice ledger (364 yearly units, 61.54th metro rank), rounded out by 99213 and 93000.
Direct cash-pay transparency modeling sets Dr. Rivera's baseline new-consult rate near $224.00 in Worcester, MA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 15-minute average reception wait).
Spanning 8 years of clinical practice following 2018 graduation from medical training, Dr. Anthony Rivera integrates 39 Active CMS HCPCS Codes diagnostics for Worcester metro patients.
Compared against Worcester, MA Physical Medicine and Rehabilitation peers
2,244 annual services across 270 beneficiaries
Standard deviations from MA Physical Medicine and Rehabilitation mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 364 | 61.54th | $82 – $113 |
| 99213 | Established Preventive & Chronic Care Visit | 210 | 59.54th | $63 – $86 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 105 | 62.54th | $30 – $45 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 81 | 58.54th | $97 – $132 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 49 | 64.54th | $115 – $157 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (39 HCPCS billing breadth) | 1,435 | 61.54th | $74 – $107 |
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Dr. Anthony Rivera, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Rivera National Provider Identifier | NPI #1487860524 (MD) | CMS NPPES Registry (01608) |
| Dr. Rivera Worcester CMS Volume Rank | 61.54th Pct (2,244 CMS svcs; Z -0.264σ) | CMS Medicare Part B (MA Physical Medicine and Rehabilitation) |
| Fair Cash-Pay New-Patient Benchmark | $224.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Worcester, MA) |
| Waiting-Room Wait Time & Cash Friendliness | $224.00 avg paid • 15 min lobby wait | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.89/5 Listening • 4.62/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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