Dr. Miguel Rivera, M.D.
What this data tells you about Dr. Rivera
Dr. Miguel Rivera is a pain medicine (physical medicine & rehabilitation) physician in Vero Beach, FL, with 18 years in practice. Based on federal Medicare data, Dr. Rivera performed 4,041 Medicare services across 2,666 unique beneficiaries.
Between the years covered by Open Payments, Dr. Rivera received a total of $62,556 from 32 pharmaceutical and/or device companies across 160 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pain medicine (physical medicine & rehabilitation) physician. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. 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.
Medicare Practice Summary
Medicare Utilization ↗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) | 852 | $98 | $144 |
| Office visit, established patient (20-29 min) | 707 | $69 | $104 |
| X-ray of lower and sacral spine, minimum of 4 views | 250 | $39 | $169 |
| Testing for presence of drug, read by direct observation | 244 | $12 | $35 |
| Injection, ketorolac tromethamine, per 15 mg | 165 | $0 | $2 |
| Injection, methylprednisolone acetate, 40 mg | 155 | $6 | $8 |
| New patient office visit (30-44 min) | 154 | $78 | $180 |
| Injection of lower or sacral spine facet joint using imaging guidance, single level | 147 | $85 | $617 |
| Injection of substance into lower spine canal using imaging guidance | 145 | $81 | $800 |
| Injection of lower or sacral spine facet joint using imaging guidance, second level | 145 | $49 | $351 |
| New patient office visit (45-59 min) | 143 | $128 | $239 |
| Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | 121 | $76 | $732 |
| Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint | 108 | $50 | $320 |
| X-ray of lower and sacral spine, 2-3 views | 86 | $32 | $116 |
| Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 84 | $161 | $1,214 |
| Injection of trigger points, 3 or more muscles | 81 | $48 | $165 |
| X-ray of upper spine, 2-3 views | 76 | $31 | $127 |
| Joint injection, major joint | 64 | $56 | $281 |
| Injection of upper or middle spine facet joint using imaging guidance, single level | 46 | $93 | $647 |
| Injection of upper or middle spine facet joint using imaging guidance, second level | 46 | $54 | $374 |
| Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 45 | $824 | $5,700 |
| X-ray of middle spine, 2 views | 35 | $27 | $123 |
| Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 24 | $96 | $675 |
| Fluoroscopic guidance for needle placement | 23 | $89 | $152 |
| Needle measurement of electrical activity in arm or leg muscles, complete study | 22 | $80 | $400 |
| Nerve conduction, 5-6 studies | 22 | $107 | $250 |
| Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint | 21 | $58 | $383 |
| Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 19 | $156 | $1,263 |
| Hip X-ray, 2-3 views | 11 | $39 | $70 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
The majority of payments (88%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 3% for pain medicine (physical medicine & rehabilitation) physician in FL.
Geographic Context
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 20% in FL), and high industry engagement (consulting-driven, top 3%), with 18 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)?
Does Dr. Rivera receive payments from pharmaceutical companies?
How do Dr. Rivera's costs compare to other pain medicine (physical medicine & rehabilitation) physicians in Vero Beach?
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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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