Medicare Enrolled
Dr. Juan Rivera, M.D.
Internal Medicine · Winter Haven, FL
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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 an internal medicine specialist in Winter Haven, FL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Rivera performed 7,207 Medicare services across 4,392 unique beneficiaries.
Between the years covered by Open Payments, Dr. Rivera received a total of $2,624 from 37 pharmaceutical and/or device companies across 124 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal 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 5% volume in FL
$2,624 industry payments
Florida License Status
FL DOH · MQA1
Active license
None
Board action on record
0
Recent admin complaints
| Profession | License # | Status | Expires | Board Action |
|---|---|---|---|---|
| Medical Doctor | 82507 | Clear | January 31, 2028 | — |
Data from Florida Department of Health Medical Quality Assurance.
License records are public under Chapter 119, Florida Statutes.
Verify directly on FL DOH →
Medicare Practice Summary
Medicare Utilization ↗7,207
Medicare services
Top 5% in FL for internal medicine
4,392
Unique beneficiaries
$26
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~360 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. |
758 | $87 | $218 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
566 | $8 | $9 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
524 | $8 | $16 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
501 | $10 | $21 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
469 | $10 | $19 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
428 | $6 | $12 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
427 | $5 | $10 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
334 | $16 | $34 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
304 | $29 | $59 |
| Parathyroid hormone level test A blood test that measures the amount of parathyroid hormone in your body. This hormone helps regulate calcium levels in the blood and bones. |
220 | $40 | $83 |
| Urine culture, bacterial identification A laboratory test that grows and identifies bacteria from a urine sample to detect infections. |
184 | $8 | $34 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
174 | $13 | $27 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
171 | $126 | $231 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
162 | $3 | $6 |
| Annual depression screening | 151 | $18 | $36 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
141 | $23 | $96 |
| Prothrombin time test (blood clotting) A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process. |
127 | $4 | $9 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
124 | $16 | $45 |
| Urinalysis, microscopic examination A laboratory test that examines a urine sample under a microscope to check for cells, crystals, bacteria, or other substances. |
119 | $3 | $6 |
| Urine culture, bacterial colony count A laboratory test that measures the number of bacteria growing in a urine sample to help identify infections. |
98 | $8 | $34 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
91 | $2 | $4 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
74 | $16 | $33 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
64 | $18 | $18 |
| Thyroxine (T4) level test A blood test that measures the total amount of thyroxine, a thyroid hormone, in your body. |
59 | $7 | $14 |
| Thyroid hormone evaluation A blood test to measure the levels of thyroid hormones in the body. This evaluation helps assess how well the thyroid gland is functioning. |
58 | $6 | $13 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
52 | $10 | $42 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
51 | $19 | $39 |
| 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. |
50 | $67 | $150 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
48 | $71 | $183 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
46 | $209 | $487 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
43 | $15 | $30 |
| Knee X-ray, 3 views An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures. |
41 | $27 | $115 |
| SARS-CoV-2 immunoassay test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus. |
37 | $35 | $90 |
| Foot X-ray, 3+ views An X-ray imaging test of the foot that captures at least three different views to evaluate the bones and joints. |
35 | $21 | $96 |
| Screening mammography An X-ray of the breast used to detect breast cancer in women who have no signs or symptoms of the disease. |
33 | $123 | $373 |
| 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. |
32 | $31 | $132 |
| 3D screening mammography (tomosynthesis) A screening imaging test of the breast using 3D technology to detect potential abnormalities. |
32 | $51 | $155 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
31 | $22 | $97 |
| X-ray of hand, minimum of 3 views An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints. |
29 | $26 | $102 |
| 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. |
28 | $38 | $142 |
| Wrist X-ray, minimum 3 views An imaging test using X-rays to capture at least three different angles of the wrist bones and joints. |
28 | $29 | $114 |
| Rib X-ray, minimum 3 views An X-ray imaging test of the ribs on one side of the body. The procedure includes a minimum of three different views to capture detailed images. |
24 | $30 | $120 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
23 | $13 | $27 |
| Ankle X-ray, minimum 3 views An X-ray imaging test of the ankle that captures at least three different angles to evaluate the bones and joints. |
22 | $26 | $102 |
| Iron level test | 22 | $6 | $13 |
| Transferrin level test A blood test that measures the amount of transferrin, a protein that binds to and transports iron in the body. |
22 | $12 | $26 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
21 | $10 | $51 |
| Sed rate test (inflammation marker) This automated test measures how quickly red blood cells settle in a tube to detect inflammation in the body. |
19 | $3 | $5 |
| Knee X-ray, 1-2 views An X-ray imaging test of the knee joint using one to two different angles to visualize the bones and surrounding structures. |
15 | $21 | $98 |
| CT scan of abdomen and pelvis, without contrast A computed tomography scan that creates detailed images of the abdominal and pelvic organs. The procedure is performed without the use of intravenous contrast dye. |
15 | $137 | $592 |
| Recombinant quadrivalent influenza vaccine A flu shot that protects against four strains of influenza virus. It is produced using recombinant DNA technology rather than growing the virus in eggs. |
15 | $72 | $183 |
| Injection, methylprednisolone acetate, 40 mg | 15 | $6 | $13 |
| X-ray of upper spine, 4-5 views An X-ray imaging test of the upper spine using 4 to 5 different views to visualize the bones and structures in that area. |
14 | $38 | $148 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
14 | $9 | $18 |
| 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. |
11 | $21 | $93 |
| 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. |
11 | $88 | $333 |
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 ↗$2,624
Total received (2018-2024)
Avg $375/year across 7 years
Top 22% in FL for internal medicine
37
Companies
124
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
$2,624 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$464
2023
$781
2022
$385
2021
$200
2020
$73
2019
$158
2018
$563
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
PFIZER INC.
$416
Boehringer Ingelheim Pharmaceuticals, Inc.
$309
Novo Nordisk Inc
$221
GlaxoSmithKline, LLC.
$168
Lilly USA, LLC
$157
Novartis Pharmaceuticals Corporation
$149
Genentech USA, Inc.
$97
Bayer Healthcare Pharmaceuticals Inc.
$76
Biohaven Pharmaceutical Holding Company Ltd.
$76
Amgen Inc.
$70
AstraZeneca Pharmaceuticals LP
$66
Dexcom, Inc.
$65
Abbott Laboratories
$62
AbbVie Inc.
$61
Bayer HealthCare Pharmaceuticals Inc.
$57
Esperion Therapeutics, Inc.
$50
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$49
Amarin Pharma Inc.
$43
E.R. Squibb & Sons, L.L.C.
$41
Exact Sciences Corporation
$40
LIFESCAN, INC.
$34
Siemens Medical Solutions USA, Inc.
$32
Xeris Pharmaceuticals, Inc.
$24
Merck Sharp & Dohme LLC
$24
SANOFI PASTEUR INC.
$23
Janssen Pharmaceuticals, Inc
$21
Daiichi Sankyo Inc.
$20
Kowa Pharmaceuticals America, Inc.
$20
GE HealthCare
$20
Nevro Corp.
$19
Boston Scientific Corporation
$18
Astellas Pharma US Inc
$18
SANOFI-AVENTIS U.S. LLC
$17
Actelion Pharmaceuticals US, Inc.
$17
Medtronic, Inc.
$17
Paratek Pharmaceuticals, Inc.
$15
Allergan Inc.
$12
Top 3 companies account for 36.1% of total payments
Associated products mentioned in payments ›
AREXVY · BASAGLAR · BEXSERO · BREZTRI · CHANTIX · Cologuard Collection Kit · DALIRESP · Dexcom G6 Transmitter · ELIQUIS · ENTRESTO · EVENITY · Esbriet · FARXIGA · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · FREESTYLE LIBRE · GARDASIL · GVOKE PFS · INJECTAFER · JARDIANCE · Kerendia · LEQVIO · LYRICA · LifeVest · Livalo · MAGNETOM Aera · MOUNJARO · MYRBETRIQ · Micra · NEXLETOL · NURTEC ODT · NUZYRA · OFEV · OPSUMIT · Otezla · Ozempic · PAXLOVID · QULIPTA · Rybelsus · SHINGRIX · STIOLTO · STIOLTO RESPIMAT · SYMBICORT · Senza · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · UBRELVY · VIBERZI · Vascepa · Victoza · WATCHMAN Access System · Wegovy · XARELTO
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 $36 per 100 Medicare services performed
Geographic Context
Internal medicine physicians within 10 mi
274
Per 100K population
36.0
County median income
$63,644
Nearest hospital
WINTER HAVEN HOSPITAL
6.0 mi
6.0 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 mixed practice specialist, with above-average Medicare volume (top 5% in FL), with low-engagement industry engagement, with 20 years of NPI registration.
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 758 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 $2,624 from 37 companies across 124 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 internal medicine physicians in Winter Haven?
Dr. Rivera's average Medicare payment per service is $26. 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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