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PROVIDER PROFILE · NPI 1720044811

John RiveraM.D.

Family PracticeMilldale, CTI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
83.4
Quality
73.9
Cost
79.6
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.36%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
6,379
Beneficiaries
—
Total drug cost
$814K
Distinct drugs
112
Brand share
22.0%
Top prescribed drugs
Atorvastatin Calcium546 claims
Rosuvastatin Calcium523 claims
Amlodipine Besylate319 claims
Lisinopril270 claims
Levothyroxine Sodium244 claims
REFERRAL NETWORK

Where John 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). 4 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Quest Diagnostics Llc
Clinical Laboratory · Wallingford, CT
58126
THE HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN GENERAL AND BRADLEY43138
Monika Fuller
Physician Assistant · East Haven, CT
2346
MIDSTATE MEDICAL CENTER1325
Refers patients to
Outbound — where patients go next
No outbound pairs above the suppression threshold.
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
515
Unique beneficiaries
—
Total services
698
Distinct HCPCS
8
Medicare payment
$59K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 532 Family Practice providers in CT — above median (cohort median 538).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$2K
Payment records
83
By payment type
Food and Beverage$2K
Education$15
Top paying entities
Food and Beverage$2K
Education$15