What is Rafael Rivera's specialty?

Rafael Rivera (NPI 1003911264) is a Medicare-billing provider whose primary specialty is Cardiology in Ponce, PR.

Where does Rafael Rivera practice?

Rafael Rivera practices in Ponce, PR, based on the location reported in the CMS Medicare provider datasets for NPI 1003911264.

How much does Medicare pay Rafael Rivera?

Rafael Rivera (NPI 1003911264) received approximately $9K in total Medicare Part B payments, serving 41 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1003911264

Rafael Rivera

CardiologyPonce, PRI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

Unique beneficiaries

—

Total services

Distinct HCPCS

Medicare payment

$1K

Peer benchmark

Total Medicare services vs. 218 Cardiology providers in PR — below median (cohort median 177).

PRESCRIBING · PART D · 2024

Total Rx claims

10,583

Beneficiaries

—

Total drug cost

$697K

Distinct drugs

Brand share

25.6%

Top prescribed drugs

Metoprolol Succinate1,128 claims

Atorvastatin Calcium1,098 claims

Lisinopril787 claims

Amlodipine Besylate717 claims

Losartan Potassium506 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

Total received

$2K

Payment records

By payment type

Food and Beverage$2K

Top paying entities

Food and Beverage$2K

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 400044

Hospital

REFERRAL NETWORK

Where Rafael Rivera's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 1 inbound referrers · 4 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Spectra East, Inc. Clinical Laboratory · Rockleigh, NJ	14	28

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
SAINT LUKES MEMORIAL HOSPITAL INC	51	97
Luis Melendez-Morales Diagnostic Radiology · San Juan, PR	23	117
Pedro Whatts Anesthesiology · Ponce, PR	15	35
Spectra East, Inc. Clinical Laboratory · Rockleigh, NJ	12	18

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events