Medicare Enrolled
Dr. Richard Falivena, D.O.
Surgery · Cape May Court House, NJ
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. Falivena 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. Falivena
Dr. Richard Falivena is a surgery specialist in Cape May Court House, NJ, with 17 years of NPI registration. Based on federal Medicare data, Dr. Falivena performed 31,280 Medicare services across 10,764 unique beneficiaries.
Between the years covered by Open Payments, Dr. Falivena received a total of $460 from 1 pharmaceutical and/or device company across 6 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in surgery. 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. Falivena 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.
✓ 17 years in practice
▲ Top 0% volume in NJ
$460 industry payments
Medicare Practice Summary
Medicare Utilization ↗31,280
Medicare services
Top 0% in NJ for surgery
10,764
Unique beneficiaries
$7
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~1,840 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 |
|---|---|---|---|
| Contrast dye for imaging (iodine-based) A contrast agent containing 300-399 mg/ml of iodine used to enhance imaging studies. It is administered per milliliter to improve the visibility of internal structures. |
16,103 | $0 | $12 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
2,266 | $8 | $51 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
1,476 | $10 | $357 |
| MRI contrast dye injection (gadoterate) Administration of gadoterate meglumine, a contrast agent, in a 0.1 ml dose. |
1,442 | $0 | $13 |
| 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. |
1,341 | $8 | $191 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
723 | $13 | $287 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
496 | $16 | $424 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
480 | $10 | $185 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
322 | $3 | $162 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
314 | $8 | $290 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
314 | $5 | $191 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
310 | $29 | $357 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
293 | $9 | $308 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
244 | $7 | $199 |
| 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. |
210 | $6 | $133 |
| Urine culture, bacterial colony count A laboratory test that measures the number of bacteria growing in a urine sample to help identify infections. |
205 | $8 | $151 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
190 | $15 | $308 |
| PSA test (prostate cancer screening) | 188 | $18 | $346 |
| Iron level test | 172 | $6 | $201 |
| Complete blood count (CBC), automated An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood. |
172 | $6 | $109 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
162 | $13 | $403 |
| Iron binding capacity test A blood test that measures the amount of iron in the blood and the blood's ability to bind and transport iron. |
158 | $9 | $212 |
| 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. |
155 | $16 | $583 |
| Immunoglobulin level test A blood test that measures the level of gammaglobulins, which are immune system proteins. |
149 | $9 | $71 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
145 | $19 | $346 |
| Phosphate level test A blood test that measures the amount of phosphate in your body. Phosphate is a mineral that helps keep bones and teeth strong. |
128 | $5 | $133 |
| 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. |
122 | $4 | $180 |
| C-reactive protein test (inflammation marker) A blood test that measures the level of C-reactive protein to detect the presence of infection or inflammation in the body. |
115 | $5 | $278 |
| Sed rate test (inflammation marker) This automated test measures how quickly red blood cells settle in a tube to detect inflammation in the body. |
114 | $3 | $154 |
| Urine total protein level A laboratory test that measures the total amount of protein present in a urine sample. |
106 | $4 | $189 |
| 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. |
94 | $40 | $172 |
| Immunoglobulin light chain measurement A blood test that measures the levels of immunoglobulin light chains, which are proteins produced by plasma cells. |
89 | $17 | $97 |
| CT scan of chest, without contrast A computed tomography scan of the chest area that uses X-rays to create detailed images without the use of contrast dye. |
79 | $59 | $2,884 |
| CT scan of abdomen and pelvis with contrast A CT scan that uses dye to create detailed images of the abdomen and pelvis. This imaging test helps doctors examine internal organs and structures in these areas. |
77 | $170 | $7,299 |
| Complete ultrasound of retroperitoneum An ultrasound examination of the structures located behind the abdominal cavity. |
77 | $48 | $1,226 |
| Limited retroperitoneal ultrasound A focused ultrasound exam of the area behind the abdominal cavity to evaluate specific structures. |
74 | $20 | $711 |
| Natriuretic peptide level test A blood test that measures the level of natriuretic peptide, a protein produced by the heart and blood vessels. |
72 | $38 | $308 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in one arm or leg using compression and other maneuvers to assess blood flow and check for blockages. |
71 | $68 | $1,274 |
| 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. |
69 | $2 | $92 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
67 | $14 | $282 |
| Blood creatinine level test A blood test that measures the amount of creatinine, a waste product from muscle wear and tear, to help assess kidney function. |
66 | $5 | $191 |
| Total testosterone level test A blood test that measures the total amount of testosterone in your body. This hormone is important for various bodily functions in both men and women. |
62 | $25 | $93 |
| Serum immunofixation test A laboratory test that analyzes a blood serum sample to identify specific abnormal proteins. The procedure uses an immunologic technique to detect and characterize these proteins. |
52 | $22 | $116 |
| Ultrasound of head and neck soft tissue This procedure uses sound waves to create images of the soft tissues in the head and neck area. It allows for the visualization of structures beneath the skin without using radiation. |
51 | $58 | $494 |
| Total protein blood test A blood test that measures the total amount of protein in your blood. This test helps evaluate your overall health and nutritional status. |
51 | $4 | $19 |
| Serum protein measurement A blood test that measures the total amount of protein in the serum. It helps evaluate overall health and nutritional status. |
51 | $10 | $47 |
| Allergy blood test (IgE), per allergen A blood test that measures the level of immunoglobulin E (IgE) antibodies produced in response to a specific crude allergen extract. |
48 | $5 | $161 |
| MRI of brain with and without contrast An MRI scan of the brain using contrast dye both before and after administration to provide detailed images of brain structures. |
47 | $148 | $8,781 |
| Limited abdominal ultrasound A focused ultrasound examination of the abdomen to evaluate specific organs or areas. This procedure uses sound waves to create images of internal structures. |
46 | $38 | $1,139 |
| CT scan of chest with contrast A computed tomography scan of the chest using a contrast dye to enhance the visibility of internal structures. |
45 | $57 | $3,135 |
| Abdominal X-ray, 1 view An X-ray image of the abdomen taken from a single angle to visualize internal structures. |
43 | $13 | $357 |
| Free testosterone level test A blood test that measures the amount of free testosterone in your body. Free testosterone is the portion of the hormone not bound to proteins and available for use by tissues. |
43 | $25 | $93 |
| Blood urea nitrogen test A blood test that measures the amount of urea nitrogen to assess kidney function. |
43 | $4 | $181 |
| Routine 12-lead electrocardiogram (ECG) A test that records the electrical activity of the heart using at least 12 leads to produce a tracing. |
43 | $5 | $291 |
| Free T3 thyroid hormone test A blood test that measures the level of free triiodothyronine (T3) hormone in your body. This helps assess how well your thyroid gland is functioning. |
41 | $17 | $199 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
37 | $4 | $98 |
| Autoimmune disorder screening test A laboratory test used to screen for the presence of autoimmune disorders. |
37 | $12 | $256 |
| Autoimmune disorder antibody test A laboratory test that measures antibodies in the blood to help assess for autoimmune disorders. |
37 | $17 | $318 |
| Lactate dehydrogenase (LDH) level test A blood test that measures the amount of lactate dehydrogenase, an enzyme found in many body tissues. It helps assess tissue damage or disease. |
35 | $6 | $163 |
| MRI of lower spine, without contrast A magnetic resonance imaging scan of the lower spinal canal that does not use contrast dye to create detailed images of the spine. |
32 | $87 | $4,735 |
| 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. |
31 | $68 | $6,347 |
| 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. |
29 | $18 | $502 |
| CT scan of abdomen and pelvis with contrast A CT scan of the abdomen and pelvis using contrast dye before and after administration to visualize internal structures. |
29 | $178 | $7,641 |
| Rheumatoid factor level | 29 | $5 | $27 |
| Liver function blood test panel | 28 | $8 | $359 |
| Complement and antigen measurement A laboratory test to measure levels of complement proteins and antigens in the blood. |
28 | $11 | $132 |
| CT scan of head/brain, without contrast A CT scan uses X-rays to create detailed images of the head or brain without the use of contrast dye. |
24 | $48 | $2,203 |
| Complete ultrasound of abdomen A diagnostic imaging test that uses sound waves to create detailed pictures of the organs and structures within the abdomen. |
24 | $55 | $1,610 |
| Collagen cross-links urine test A urine test used to evaluate bone health by measuring collagen cross-links. |
24 | $18 | $109 |
| MRI scan of brain, without contrast A magnetic resonance imaging test of the brain that does not use contrast dye. This procedure creates detailed images of the brain's structure using magnetic fields and radio waves. |
23 | $91 | $4,298 |
| Cardiac enzyme level (CK-MB) test A blood test that measures the total level of creatine kinase, specifically the cardiac enzyme fraction, to help evaluate heart muscle damage. |
23 | $6 | $196 |
| Immunoassay substance analysis, multiple step method A laboratory test that uses an immunoassay technique to analyze a substance. The process involves multiple steps to detect or measure the target material. |
23 | $11 | $71 |
| Manual white blood cell count A laboratory test that involves examining a sample under a microscope to manually count the number of white blood cells present. |
23 | $4 | $93 |
| Measurement of tissue transglutaminase | 23 | $11 | $71 |
| Clostridium difficile nucleic acid amplification test A laboratory test that uses nucleic acid amplification to detect the presence of Clostridium difficile bacteria. This method identifies the organism's genetic material to diagnose infection. |
23 | $37 | $122 |
| Kidney function blood test panel | 22 | $9 | $313 |
| Lyme disease antibody test A blood test that checks for antibodies to the bacteria that causes Lyme disease. |
22 | $17 | $60 |
| Direct bilirubin level test A blood test that measures the amount of direct bilirubin in your body. Direct bilirubin is the form of the waste product processed by the liver. |
21 | $5 | $140 |
| 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. |
20 | $18 | $615 |
| IgE level test A blood test that measures the level of immunoglobulin E (IgE) proteins in the immune system. |
19 | $16 | $263 |
| Hepatitis C antibody test A blood test that checks for antibodies to the hepatitis C virus. This test helps determine if a person has been exposed to the virus. |
19 | $14 | $217 |
| 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. |
18 | $24 | $831 |
| Lipase level test A blood test that measures the amount of lipase, a fat-digesting enzyme, in your body. |
18 | $7 | $53 |
| MRI of upper spine without contrast An MRI scan of the upper spinal canal that does not use contrast dye. This imaging test uses magnetic fields and radio waves to create detailed pictures of the spine. |
17 | $82 | $4,192 |
| MRI of abdomen with and without contrast An MRI scan of the abdomen using contrast dye before and after administration to create detailed images of internal structures. |
17 | $175 | $7,294 |
| 1,25-dihydroxyvitamin D level test A blood test that measures the level of active vitamin D in the body. |
17 | $38 | $279 |
| Stool calprotectin level test A laboratory test that measures the level of calprotectin protein in a stool sample. This test is used to evaluate inflammation in the intestines. |
17 | $19 | $517 |
| Coagulation assessment blood test A blood test that measures how long it takes for blood to clot. The sample can be plasma or whole blood. |
17 | $6 | $172 |
| DNA antibody test (native or double-stranded) A blood test that measures the level of antibodies targeting native or double-stranded DNA. This test is used to detect the presence of these specific antibodies in the body. |
17 | $13 | $146 |
| 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. |
16 | $19 | $834 |
| MRI of leg joint, without contrast A magnetic resonance imaging scan of a joint in the leg performed without the use of contrast dye. |
16 | $95 | $3,281 |
| Alpha-fetoprotein (AFP) level test A blood test that measures the amount of alpha-fetoprotein in the serum. This test is used to monitor certain health conditions. |
15 | $16 | $132 |
| Total calcium level test A blood test that measures the total amount of calcium in your body. |
15 | $5 | $132 |
| 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. |
14 | $23 | $1,086 |
| Haptoglobin level test A blood test that measures the amount of haptoglobin, a protein in the serum. It helps evaluate red blood cell breakdown. |
14 | $12 | $344 |
| Automated red blood cell count An automated laboratory test that measures the number of red blood cells in a blood sample. |
14 | $4 | $93 |
| Tuberculosis blood test (gamma interferon) A blood test that measures the immune system's response to tuberculosis bacteria using gamma interferon levels. |
14 | $61 | $230 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
14 | $113 | $1,953 |
| X-ray of lower and sacral spine, 2-3 views with bending An X-ray imaging test of the lower back and sacrum using 2 to 3 views, including bending positions. |
13 | $19 | $770 |
| Valproic acid level test A blood test that measures the total amount of valproic acid in your system. This helps healthcare providers monitor medication levels to ensure they are within a safe and effective range. |
13 | $13 | $166 |
| Amylase enzyme level test A blood test that measures the amount of amylase, an enzyme produced by the pancreas and salivary glands, to help evaluate pancreatic health. |
13 | $6 | $223 |
| Immunoassay substance measurement A laboratory test that uses immunoassay techniques to measure the level of a specific substance in a sample. |
13 | $17 | $87 |
| Lipoprotein particle number test A blood test that measures the number of lipoprotein particles to assess cholesterol levels. |
13 | $34 | $121 |
| High-sensitivity C-reactive protein test A blood test that measures high-sensitivity C-reactive protein to detect infection or inflammation. |
13 | $13 | $199 |
| Stool culture A laboratory test that grows and identifies bacteria or other microorganisms from a stool sample to detect infections. |
13 | $9 | $171 |
| Stool culture for additional pathogens A laboratory test that examines a stool sample to identify specific disease-causing organisms beyond standard screening. |
13 | $9 | $171 |
| Shiga-like toxin detection test A laboratory test that uses an immunoassay technique to detect the presence of shiga-like toxin, a bacterial toxin, in a sample. |
13 | $12 | $184 |
| Antineutrophil cytoplasmic antibody titer | 12 | $12 | $208 |
| Hepatitis B surface antigen test A blood test that uses an immunoassay technique to detect the presence of the hepatitis B surface antigen. This test identifies whether the hepatitis B virus is currently present in the body. |
12 | $10 | $142 |
| COVID-19 nucleic acid test, high throughput A laboratory test that detects the genetic material of the SARS-CoV-2 virus using an amplified probe technique. This method utilizes high-throughput technologies to process samples. |
12 | $74 | $291 |
| COVID-19 nucleic acid test, high throughput A laboratory test that detects the genetic material of the SARS-CoV-2 virus using amplified probe techniques. This method utilizes high-throughput technologies to process samples efficiently. |
12 | $24 | $71 |
| CT scan of chest blood vessels with contrast A CT scan that uses contrast dye to create detailed images of the blood vessels in the chest. |
11 | $122 | $2,998 |
| Knee X-ray, 4 or more views An imaging test using X-rays to create multiple pictures of the knee joint from different angles. |
11 | $23 | $806 |
| CT scan of abdomen with and without contrast A CT scan of the abdomen performed both before and after the administration of contrast dye to provide detailed images of internal structures. |
11 | $135 | $4,192 |
| Rheumatoid arthritis antibody test A blood test to measure antibodies used in assessing rheumatoid arthritis. |
11 | $13 | $115 |
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 2018 ↗$460
Total received (2018-2018)
Bottom 33% in NJ for surgery
1
Company
6
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
$460 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2018
$460
Payments by company (2018)
Consulting
Speaking
Meals & Travel
Research
Intuitive Surgical, Inc.
$460
Top 3 companies account for 100.0% of 2018 payments
Associated products mentioned in payments ›
Da Vinci Surgical System
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.
Geographic Context
Surgerists within 10 mi
33
Per 100K population
34.7
County median income
$88,046
Nearest hospital
CAPE REGIONAL MEDICAL CENTER INC
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 2018 |
| 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. Falivena is a mixed practice specialist, with above-average Medicare volume (top 0% in NJ), with low-engagement industry engagement, with 17 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. Falivena experienced with contrast dye for imaging (iodine-based)?
Based on Medicare claims data, Dr. Falivena performed 16,103 contrast dye for imaging (iodine-based) 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. Falivena receive payments from pharmaceutical companies?
Yes. Dr. Falivena received a total of $460 from 1 company across 6 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. Falivena's costs compare to other surgerists in Cape May Court House?
Dr. Falivena's average Medicare payment per service is $7. 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. Falivena) 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. 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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