Medicare Enrolled

Dr. Jorge Rivero, MD

Geriatric Medicine (Family Medicine) Physician · Laguna Hills, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
23521 PASEO DE VALENCIA, Laguna Hills, CA 92653
9495887262
In practice since 2006 (19 years)
NPI: 1013097260 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Rivero from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Rivero

Dr. Jorge Rivero is a geriatric medicine physician in Laguna Hills, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Rivero performed 419 Medicare services across 248 unique beneficiaries.

Between the years covered by Open Payments, Dr. Rivero received a total of $3,670 from 35 pharmaceutical and/or device companies across 136 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in geriatric medicine (family medicine) physician. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Rivero is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ 419 Medicare services $3,670 industry payments

Medicare Practice Summary

Medicare Utilization ↗
419
Medicare services
Bottom 31% in CA for geriatric medicine (family medicine) physician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
248
Unique beneficiaries
$91
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~22 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
132 $87 $208
Nursing facility visit, low complexity
A daily follow-up visit for an existing patient in a nursing facility involving straightforward medical decision making. The visit requires at least 15 minutes of time if time is used to determine the level of care.
81 $56 $132
Nursing facility visit, moderate complexity
A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves moderate medical decision making and takes at least 30 minutes.
56 $86 $175
Initial nursing facility care, high complexity
An initial visit by a healthcare provider to a patient in a nursing facility involving a high level of medical decision making, lasting at least 45 minutes.
54 $151 $308
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
38 $140 $150
Nursing facility discharge management, 30 minutes or less
This service covers the management of a patient's discharge from a nursing facility. It applies when the total time spent on discharge activities is 30 minutes or less.
33 $68 $126
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
25 $70 $140
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$3,670
Total received (2018-2024)
Avg $524/year across 7 years
Top 7% in CA for geriatric medicine (family medicine) physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
35
Companies
136
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$3,670 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$346
2023
$613
2022
$230
2021
$463
2020
$279
2019
$891
2018
$847

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$135
Lundbeck LLC
$67
Amgen Inc.
$40
Bayer Healthcare Pharmaceuticals Inc.
$31
Otsuka America Pharmaceutical, Inc.
$22
Lilly USA, LLC
$20
Merck Sharp & Dohme LLC
$16
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$16
Top 3 companies account for 69.8% of 2024 payments
All-time payments by company (2018-2024) ›
Janssen Pharmaceuticals, Inc
$1,041
AstraZeneca Pharmaceuticals LP
$412
Novartis Pharmaceuticals Corporation
$398
Amgen Inc.
$329
Bayer HealthCare Pharmaceuticals Inc.
$128
Biosense Webster, Inc.
$124
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$120
Otsuka America Pharmaceutical, Inc.
$110
Lundbeck LLC
$96
Astellas Pharma US Inc
$91
Amarin Pharma Inc.
$74
PFIZER INC.
$63
AbbVie Inc.
$61
SANOFI PASTEUR INC.
$57
Radius Health, Inc.
$53
Merck Sharp & Dohme LLC
$52
Ultragenyx Pharmaceutical Inc.
$49
Inari Medical, Inc.
$42
Novo Nordisk Inc
$40
Biogen, Inc.
$33
Bayer Healthcare Pharmaceuticals Inc.
$31
Merck Sharp & Dohme Corporation
$30
ACADIA Pharmaceuticals Inc
$25
Seqirus USA Inc
$25
Exact Sciences Corporation
$22
Lilly USA, LLC
$20
GlaxoSmithKline, LLC.
$19
Allergan, Inc.
$19
SUN PHARMACEUTICAL INDUSTRIES INC.
$17
Medtronic MiniMed, Inc.
$17
ABBVIE INC.
$17
Philips Electronics North America Corporation
$16
Allergan Inc.
$15
Boston Scientific Corporation
$13
Endogastric Solutions, Inc
$12
Top 3 companies account for 50.4% of all-time payments
Associated products mentioned in payments ›
(8874) inCourage · ADACEL · AIRSUPRA · AMYVID · AREXVY · CHANTIX · CRYSVITA · CT THROMBECTOMY SYSTEM KIT · Carto Smarttouch · Cologuard Collection Kit · ENTRESTO · ESOPHYX · EVENITY · FARXIGA · FLOWTRIEVER CATHETER · FLUZONE HIGH-DOSE · Fluad · GARDASIL · INVOKANA · KAPSPARGO · Kerendia · LINZESS · MYRBETRIQ · NUPLAZID · Otezla · Ozempic · PNEUMOVAX 23 · PREVNAR - 13 · Prolia · REXULTI · Rybelsus · S · TOVIAZ · Tymlos · UBRELVY · VESICARE · VRAYLAR · Vascepa · WATCHMAN Access System · XARELTO · XIFAXAN · iPro2
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 7% for geriatric medicine (family medicine) physician in CA.

Looking for a geriatric medicine physician in Laguna Hills?
Compare geriatric medicine physicians in the Laguna Hills area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Geriatric medicine physicians within 10 mi
31
Per 100K population
1.0
County median income
$113,702
Nearest hospital
MEMORIALCARE SADDLEBACK MEDICAL CENTER
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Rivero is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 7% of CA peers, with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Rivero experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Rivero performed 132 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Rivero receive payments from pharmaceutical companies?
Yes. Dr. Rivero received a total of $3,670 from 35 companies across 136 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Rivero's costs compare to other geriatric medicine physicians in Laguna Hills?
Dr. Rivero's average Medicare payment per service is $91. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Rivero) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →