Medicare Enrolled
Dr. Juan Rivera, M.D.
Family Medicine · Punta Gorda, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
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. Rivera 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 →
Are you Dr. Rivera? Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Rivera
Dr. Juan Rivera is a family medicine in Punta Gorda, FL, with 20 years in practice. Based on federal Medicare data, Dr. Rivera performed 14,748 Medicare services across 8,299 unique beneficiaries.
Between the years covered by Open Payments, Dr. Rivera received a total of $4,449 from 55 pharmaceutical and/or device companies across 239 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Rivera is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years in practice▲ Top 1% volume in FL$ $4,449 industry payments
Medicare Practice Summary
Medicare Utilization ↗14,748
Medicare services
Top 1% in FL for family medicine
8,299
Unique beneficiaries
$34
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~737 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) | 1,776 | $85 | $264 |
| Denosumab injection (Prolia/Xgeva) | 1,681 | $18 | $47 |
| Dexamethasone injection (steroid) | 884 | $0 | $0 |
| Blood draw (venipuncture) | 878 | $8 | $17 |
| Complete blood count (CBC) with differential | 755 | $8 | $16 |
| Ceftriaxone antibiotic injection | 682 | $0 | $1 |
| Comprehensive metabolic blood panel | 681 | $10 | $21 |
| Annual wellness visit, follow-up | 670 | $125 | $267 |
| Advance care planning consultation, first 30 min | 645 | $80 | $171 |
| Annual depression screening | 641 | $18 | $38 |
| Thyroid stimulating hormone (TSH) test | 596 | $16 | $34 |
| Free thyroxine (T4) test | 572 | $9 | $18 |
| Lipid panel (cholesterol and triglycerides) | 565 | $13 | $27 |
| Drug injection, under skin or into muscle | 359 | $10 | $30 |
| Hemoglobin A1c test (diabetes monitoring) | 275 | $10 | $19 |
| Flu vaccine administration | 201 | $30 | $64 |
| Flu vaccine, high-dose | 184 | $72 | $144 |
| Office visit, established patient, complex (40-54 min) | 148 | $118 | $370 |
| Urine microalbumin test (kidney screening) | 145 | $6 | $12 |
| Creatinine test (kidney function) | 145 | $5 | $10 |
| Automated urinalysis | 125 | $2 | $4 |
| Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 119 | $276 | $574 |
| Pneumonia vaccine administration | 118 | $30 | $64 |
| Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 102 | $1 | $3 |
| Prothrombin time test (blood clotting) | 86 | $4 | $9 |
| Office visit, established patient (20-29 min) | 86 | $59 | $187 |
| Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 85 | $40 | $107 |
| Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 73 | $26 | $54 |
| Magnesium level test | 71 | $7 | $13 |
| PSA test (prostate cancer screening) | 71 | $18 | $37 |
| Glutamyltransferase (liver enzyme) level | 67 | $7 | $14 |
| Electrocardiogram (EKG), 12-lead | 66 | $10 | $30 |
| Injection, methylprednisolone acetate, 80 mg | 66 | $9 | $24 |
| Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 63 | $15 | $47 |
| C-reactive protein test (inflammation marker) | 62 | $5 | $10 |
| Transitional care management services for problem of at least moderate complexity | 53 | $155 | $420 |
| Sed rate test (inflammation marker) | 51 | $3 | $5 |
| Urine culture, bacterial colony count | 51 | $8 | $16 |
| Uric acid level test | 50 | $4 | $9 |
| Urinalysis with microscopic exam | 43 | $3 | $6 |
| Basic metabolic blood panel | 42 | $8 | $17 |
| Removal of impacted ear wax | 39 | $34 | $100 |
| Transitional care management services for problem of high complexity | 39 | $212 | $570 |
| Phosphate level test | 37 | $5 | $9 |
| Vitamin B-12 level test | 36 | $15 | $30 |
| Vitamin D level test | 31 | $29 | $59 |
| Blood creatinine level | 31 | $5 | $10 |
| Iron binding capacity test | 30 | $9 | $17 |
| Ferritin level test (iron stores) | 29 | $13 | $27 |
| Prostate cancer screening; prostate specific antigen test (psa) | 29 | $19 | $39 |
| Testosterone (hormone) level, total | 27 | $25 | $52 |
| Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 27 | $55 | $143 |
| Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | 27 | $31 | $86 |
| Iron level test | 26 | $6 | $13 |
| Kidney function blood test panel | 24 | $9 | $17 |
| Folic acid level test | 23 | $14 | $29 |
| Liver enzyme (sgot), level | 23 | $5 | $10 |
| Liver enzyme (sgpt), level | 23 | $5 | $11 |
| Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 23 | $162 | $343 |
| Albumin (protein) level | 22 | $5 | $10 |
| Bacterial culture, aerobic | 21 | $8 | $16 |
| Antibiotic sensitivity test | 21 | $8 | $17 |
| Infusion into a vein for hydration, 31-60 minutes | 21 | $19 | $66 |
| Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 19 | $0 | $0 |
| Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report | 18 | $7 | $30 |
| Injection, methylprednisolone acetate, 40 mg | 15 | $6 | $16 |
| Injection, methylprednisolone sodium succinate, up to 125 mg | 15 | $4 | $11 |
| New patient office visit (45-59 min) | 14 | $78 | $347 |
| Destruction of precancerous skin growth, 1 | 13 | $45 | $139 |
| Administration of vaccine | 12 | $13 | $41 |
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.
0.1% high complexity
25.8% medium
74.1% routine
Industry Payment Transparency
Open Payments through 2024 ↗$4,449
Total received (2018-2024)
Avg $636/year across 7 years
Top 12% in FL for family medicine
55
Companies
239
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
$4,449 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024$438
2023$457
2022$908
2021$736
2020$820
2019$324
2018$766
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$633
Amgen Inc.
$530
Lilly USA, LLC
$380
ABBVIE INC.
$275
AbbVie Inc.
$205
Novartis Pharmaceuticals Corporation
$138
Radius Health, Inc.
$133
GlaxoSmithKline, LLC.
$132
Medtronic USA, Inc.
$125
Bayer HealthCare Pharmaceuticals Inc.
$115
PFIZER INC.
$108
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$100
Boston Scientific Corporation
$98
Merck Sharp & Dohme Corporation
$96
GRT US Holding, Inc.
$78
Abbott Laboratories
$78
Exact Sciences Corporation
$76
Sumitomo Pharma America, Inc.
$71
AstraZeneca Pharmaceuticals LP
$63
Grifols USA, LLC
$62
Amarin Pharma Inc.
$62
Janssen Pharmaceuticals, Inc
$58
Biohaven Pharmaceuticals, Inc.
$56
Allergan, Inc.
$54
Insulet Corporation
$50
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$49
Astellas Pharma US Inc
$46
GE HEALTHCARE
$44
Esperion Therapeutics, Inc.
$41
Biohaven Pharmaceutical Holding Company Ltd.
$31
Takeda Pharmaceuticals U.S.A., Inc.
$28
Otsuka America Pharmaceutical, Inc.
$27
DePuy Synthes Sales Inc.
$24
Currax Pharmaceuticals LLC
$24
Corcept Therapeutics
$23
Lundbeck LLC
$23
SANOFI-AVENTIS U.S. LLC
$22
Allergan Inc.
$22
DEXCOM, INC.
$22
Genentech USA, Inc.
$19
Endo Pharmaceuticals Inc.
$18
Dexcom, Inc.
$18
Shire North American Group Inc
$17
Seqirus USA Inc
$17
IBSA Pharma Inc.
$16
Eisai Inc.
$16
Hologic, LLC
$16
Boehringer Ingelheim Pharmaceuticals, Inc.
$15
Kowa Pharmaceuticals America, Inc.
$15
E.R. Squibb & Sons, L.L.C.
$14
GE Healthcare
$14
kaleo, Inc.
$13
Adlon Therapeutics L.P.
$13
Phathom Pharmaceuticals, Inc.
$13
Nestle HealthCare Nutrition Inc.
$13
Top 3 companies account for 34.7% of total payments
Associated products mentioned in payments ›
ACCOLADE · ADHANSIA XR · ADVAIR · ANORO · AUVI-Q · Aimovig · BASAGLAR · BYSTOLIC · COMIRNATY · CONTRAVE · Cologuard Collection Kit · DEXCOM G6 TRANSMITTER · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · FARXIGA · Fluad · FreeStyle Libre · FreeStyle Libre 2 · GARDASIL 9 · GATTEX · GEMTESA · JANUVIA · JARDIANCE · KYPHON Balloon Kyphoplasty · Kerendia · Korlym · LEQVIO · LifeVest · Livalo · MOUNJARO · MOVANTIK · NEXLETOL · NURTEC ODT · ORTHOVISC · Omnipod · Otezla · Ozempic · PAXLOVID · PNEUMOVAX 23 · PRALUENT · PREVNAR - 13 · PREVNAR 20 · Prolastin-C Liquid · Prolia · QULIPTA · Qutenza · REXULTI · RYBELSUS · Repatha · Rybelsus · STIOLTO RESPIMAT · Sexually Transmitted Infectious Disease · TRELEGY ELLIPTA · TRULICITY · Tirosint · Trintellix · Tymlos · UBRELVY · VESICARE · VOQUEZNA · VRAYLAR · Vascepa · Veozah · WATCHMAN FLX · XARELTO · XIAFLEX · XIFAXAN · Xience Sierra Coronary Stent System · Xofluza · ZENPEP
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.
Equivalent to $30 per 100 Medicare services performed
Geographic Context
Family Medicines within 10 mi
266
Per 100K population
136.4
County median income
$66,154
Nearest hospital
SHOREPOINT HEALTH PUNTA GORDA
0.0 mi
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 measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Rivera is a clinical cardiology specialist, with above-average Medicare volume (top 1% in FL), and high industry engagement (low-engagement, top 12%), with 20 years of practice experience.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Rivera experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Rivera performed 1,776 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. Rivera receive payments from pharmaceutical companies?
Yes. Dr. Rivera received a total of $4,449 from 55 companies across 239 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. Rivera's costs compare to other family medicines in Punta Gorda?
Dr. Rivera's average Medicare payment per service is $34. 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. Rivera) 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 →
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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. The Transparency Score measures 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.
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