Medicare Enrolled
Dr. Miguel Rivera, M.D.
Pain Medicine (Physical Medicine & Rehabilitation) Physician · Vero Beach, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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?
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What this data tells you about Dr. Rivera
Dr. Miguel Rivera is a pain medicine physician in Vero Beach, FL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Rivera performed 4,041 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Rivera received a total of $62,556 from 32 pharmaceutical and/or device companies across 160 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. 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. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years of NPI registration
▲ Top 21% volume in FL
$62,556 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗4,041
Medicare services
Top 21% in FL for pain medicine (physical medicine & rehabilitation) physician
Not available
Unique patients (not deduplicated)
$76
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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. |
852 | $98 | $144 |
| 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. |
707 | $69 | $104 |
| X-ray of lower and sacral spine, minimum of 4 views An X-ray imaging test of the lower back and sacrum using at least four different angles to visualize the bones and joints. |
250 | $39 | $169 |
| Drug test with direct observation A drug screening test performed under direct observation to ensure the sample is provided correctly. This method is used to verify the integrity of the specimen collection process. |
244 | $12 | $35 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
165 | $0 | $2 |
| Injection, methylprednisolone acetate, 40 mg | 155 | $6 | $8 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
154 | $78 | $180 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
147 | $85 | $617 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
145 | $81 | $800 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
145 | $49 | $351 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
143 | $128 | $239 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
121 | $76 | $732 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
108 | $50 | $320 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
86 | $32 | $116 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
84 | $161 | $1,214 |
| Trigger point injection, 3 or more muscles Injection of medication into three or more specific muscle trigger points to relieve pain. |
81 | $48 | $165 |
| X-ray of upper spine, 2-3 views An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures. |
76 | $31 | $127 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
64 | $56 | $281 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the upper or middle spine while using imaging guidance to ensure accurate placement. |
46 | $93 | $647 |
| Facet joint injection, second level, with imaging An injection into a second spinal facet joint in the upper or middle spine, guided by imaging to ensure accurate placement. |
46 | $54 | $374 |
| Minimally invasive spine decompression, lower spine A minimally invasive procedure to remove bone from the lower spine to relieve pressure on nerve tissue, guided by imaging and accessed through the skin. |
45 | $824 | $5,700 |
| X-ray of middle spine, 2 views An X-ray imaging test that produces two views of the middle section of the spine to visualize the bones and joints. |
35 | $27 | $123 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
24 | $96 | $675 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
23 | $89 | $152 |
| Electromyography of arm or leg muscles A test that measures the electrical activity in the muscles of the arm or leg using a needle electrode. It helps evaluate the health of muscles and the nerve cells that control them. |
22 | $80 | $400 |
| Nerve conduction studies, 5-6 tests A series of 5 to 6 tests that measure how well nerves send electrical signals. The procedure evaluates nerve function and helps identify damage or dysfunction. |
22 | $107 | $250 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional upper or middle spinal facet joint. |
21 | $58 | $383 |
| Facet joint nerve destruction, single joint This procedure uses imaging guidance to destroy the nerves supplying a single upper or middle spinal facet joint. It is performed to interrupt pain signals from that specific joint. |
19 | $156 | $1,263 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
11 | $39 | $70 |
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. These counts do not measure clinical quality or years of experience.
Industry Payment Transparency
Open Payments through 2024 ↗$62,556
Total received (2018-2024)
Avg $8,937/year across 7 years
Top 3% in FL for pain medicine (physical medicine & rehabilitation) physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
32
Companies
160
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$869
2023
$15,503
2022
$15,581
2021
$27,146
2020
$134
2019
$1,851
2018
$1,472
Payments by company (2024)
Spinal Simplicity, LLC
$528
Vertos Medical, Inc.
$243
Boston Scientific Corporation
$48
Pacira Pharmaceuticals Incorporated
$32
Smith+Nephew, Inc.
$18
Top 3 companies account for 94.2% of 2024 payments
All-time payments by company (2018-2024) ›
Vertos Medical, Inc.
$56,690
Spinal Simplicity, LLC
$1,417
Medtronic USA, Inc.
$1,358
Genesys Orthopedics Systems, L.L.C.
$738
BOSTON SCIENTIFIC CORPORATION
$495
SPR Therapeutics, Inc
$425
Relievant Medsystems, Inc.
$251
SurGenTec
$225
Abbott Laboratories
$188
PAINTEQ LLC
$174
Boston Scientific Corporation
$88
Pacira Pharmaceuticals Incorporated
$64
RedHill Biopharma Inc.
$36
PFIZER INC.
$36
Scilex Pharmaceuticals Inc.
$29
SI-BONE, Inc.
$28
Purdue Pharma L.P.
$27
Medtronic, Inc.
$25
BAUDAX BIO INC.
$24
Allergan Inc.
$23
Ferring Pharmaceuticals Inc.
$23
DePuy Synthes Sales Inc.
$22
Daiichi Sankyo Inc.
$20
Baudax Bio Inc.
$20
BioDelivery Sciences International, Inc.
$19
Collegium Pharmaceutical, Inc.
$18
Smith+Nephew, Inc.
$18
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$16
Horizon Pharma plc
$16
Vericel Corporation
$16
Nevro Corp.
$14
Zimmer Biomet Holdings, Inc.
$13
Top 3 companies account for 95.1% of all-time payments
Associated products mentioned in payments ›
ANJESO · BELBUCA · BUNAVAIL 2.1 mg 30-count box · EBI Bone Healing System · EMBEDA · EUFLEXXA · EXPAREL · Exparel · General - Vascular Access · HA MINUTEMAN G3-R · INTELLIS · ION Facet Screw · Intracept · KYPHON Balloon Kyphoplasty · LINZESS · LYRICA · MACI _ PEAK Study · Morphabond ER · Movantik · ORTHOVISC · OXYCONTIN · PAINTEQ · PENNSAID · PROCLAIM · Pico 14 · Proclaim Family of SCS IPGs · Proclaim IPG · SACROILIAC JOINT FUSION SYSTEM · SPRINT PNS System · SYMPROIC · Senza Spinal Cord Stimulation System · Superion · Superion Indirect Decompression System · Vanta · Varithena Administration Pack · XTAMPZA · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · iFuse Implant · mild Device Kit
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Pain medicine physicians in nearby ZIP areas
1
County median income
$71,049
Nearest hospital to ZIP centroid (approximate)
CLEVELAND CLINIC INDIAN RIVER HOSPITAL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | 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. Rivera is a clinical cardiology specialist, with above-average Medicare volume (top 21% in FL), 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. Rivera experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Rivera performed 852 office visit, established patient (30-39 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Rivera receive payments from pharmaceutical companies?
Yes. Dr. Rivera received a total of $62,556 from 32 companies across 160 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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 pain medicine physicians in Vero Beach?
Dr. Rivera's average Medicare payment per service is $76. 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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.
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