Dr. Sean Rivera, MD
5757 Harper DR Ne, Albuquerque, NM 87109 • +1-691-555-4909
Medical Education: Accredited U.S. Medical School (Class of 2017)
What This Doctor Actually Performs: CMS Medicare Utilization & Albuquerque Percentiles
NPI #1598031148 • CBSA Regional • Ophthalmology
Dr. Sean Rivera, MD (NPI #1598031148) practices Ophthalmology in Albuquerque, NM (87109) with sub-specialty concentration in 38 Active CMS HCPCS Codes, recording 2,772 annual CMS services across 722 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (48th Albuquerque percentile) (-0.40σ vs NM state mean, 47.92th statewide percentile).
Fee-schedule auditing of NPI 1598031148 highlights 1026 annual claims for 92014 (48th Albuquerque percentile; $178–$243 self-pay corridor) plus 721 encounters under 92134 and 471 under 92083.
For out-of-network patients contacting +1-691-555-4909, Dr. Rivera's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.74/5 composite reality score over 25 submissions).
Credentialed as an MD specialist with 9 years post-graduation experience since completing medical school at an LCME/COCA institution (2017), Dr. Rivera coordinates 38 Active CMS HCPCS Codes workups from 5757 Harper DR Ne (+1-691-555-4909).
Compared against Albuquerque, NM Ophthalmology peers
2,772 annual services across 722 beneficiaries
Standard deviations from NM Ophthalmology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 92014 | Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam | 1,026 | 48th | $178 – $243 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 721 | 46th | $98 – $134 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 471 | 50th | $117 – $161 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 333 | 50th | $214 – $293 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 222 | 43th | $783 – $1073 |
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Dr. Sean Rivera, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Rivera National Provider Identifier | NPI #1598031148 (MD) | CMS NPPES Registry (87109) |
| Dr. Rivera Albuquerque CMS Volume Rank | 48.00th Pct (2,772 CMS svcs; Z -0.399σ) | CMS Medicare Part B (NM Ophthalmology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Albuquerque, NM) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 9 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.84/5 Listening • 4.63/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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