Dr. Antonio Rivera, MD
6319 Castle Pl, Ste 1 E, Falls Church, VA 22044 • +1-599-555-5250
Medical Education: Accredited U.S. Medical School (Class of 2009)
What This Doctor Actually Performs: CMS Medicare Utilization & Falls Church Percentiles
NPI #1649212978 • CBSA Regional • Internal Medicine
Operating out of Falls Church, VA (6319 Castle Pl, Ste 1 E), Internal Medicine clinician Dr. Antonio Rivera, MD (accredited MD/DO training, 2009) maintains a upper-quartile active clinical volume (76.32th Falls Church percentile) (68.86th VA percentile; Z-score -0.06σ across 2,454 documented services) with sub-specialty concentration in 37 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Rivera (averaging 11.2 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 32% of tracked volume (784 encounters), paired with 99213 (453x).
Self-pay new patient consultations with Dr. Rivera (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 9-minute average reception wait, and a 4.56/5 modern protocol openness score across 23 patient logs.
Clinical background for Dr. Rivera (MD, NPI #1649212978) includes accredited doctoral training (2009, 17 yrs in practice) and virtual + in-office availability across VA.
Compared against Falls Church, VA Internal Medicine peers
2,454 annual services across 219 beneficiaries
Standard deviations from VA Internal Medicine 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 | 784 | 76.32th | $95 – $131 |
| 99213 | Established Preventive & Chronic Care Visit | 453 | 80.32th | $73 – $100 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 226 | 78.32th | $35 – $50 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 174 | 79.32th | $112 – $153 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 105 | 79.32th | $133 – $182 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (37 HCPCS billing breadth) | 712 | 76.32th | $86 – $125 |
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Dr. Antonio Rivera, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Rivera National Provider Identifier | NPI #1649212978 (MD) | CMS NPPES Registry (22044) |
| Dr. Rivera Falls Church CMS Volume Rank | 76.32th Pct (2,454 CMS svcs; Z -0.061σ) | CMS Medicare Part B (VA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Falls Church, VA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 9 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.93/5 Listening • 4.56/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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