Medicare Enrolled
Dr. Douglas Rivera, MD
Radiology - Diagnostic · Georgetown, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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 →
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What this data tells you about Dr. Rivera
Dr. Douglas Rivera is a radiology - diagnostic specialist in Georgetown, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Rivera performed 25,468 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 $6,391 from 58 pharmaceutical and/or device companies across 196 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.
✓ 20 years of NPI registration
▲ Top 2% volume in TX
$6,391 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗25,468
Medicare services
Top 2% in TX for radiology - diagnostic
Not available
Unique patients (not deduplicated)
$20
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 |
|---|---|---|---|
| Iron infusion (Feraheme) An injection of ferumoxytol used to treat iron deficiency anemia in patients not on dialysis. |
12,750 | $0 | $2 |
| 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. |
5,040 | $0 | $1 |
| Denosumab injection (Prolia/Xgeva) | 2,280 | $18 | $48 |
| Immune globulin infusion (Gammagard) An injection of immune globulin (Gammagard Liquid) to provide antibodies. The dose specified is 500 mg. |
1,570 | $35 | $100 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
529 | $0 | $1 |
| Calculation of radiation therapy dose | 381 | $34 | $132 |
| Intensity-modulated radiation therapy delivery Delivery of radiation therapy using narrow beams that are spatially and temporally modulated to target specific areas. This process is performed per treatment session. |
338 | $271 | $1,176 |
| CT guidance for radiation therapy This procedure uses computed tomography imaging to guide the precise placement of radiation therapy fields. It ensures accurate positioning for targeted treatment delivery. |
337 | $92 | $399 |
| Additional sequential IV infusion, 1 hour or less This code represents an additional intravenous infusion administered sequentially to a primary infusion. It covers the administration time of one hour or less. |
169 | $19 | $182 |
| 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. |
161 | $59 | $260 |
| 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. |
157 | $88 | $325 |
| Radiation treatment management, 5 sessions Oversight and management of a radiation therapy course consisting of five treatment sessions. |
123 | $146 | $584 |
| Radiation therapy, 3+ areas, 6-10 MeV Radiation treatment delivered to three or more separate areas using advanced techniques like custom blocking and rotational beams with an energy level of 6-10 MeV. |
121 | $177 | $760 |
| Continuing radiation therapy consultation per week A weekly consultation to review and manage ongoing radiation therapy treatment. |
118 | $65 | $270 |
| 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. |
95 | $8 | $24 |
| Design and construction of complex radiation treatment device This code covers the design and construction of a complex radiation treatment device. It does not specify the clinical purpose or conditions treated. |
94 | $67 | $278 |
| 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. |
89 | $9 | $48 |
| Intravenous infusion, 1 hour or less Administration of medication or fluid directly into a vein for therapeutic, preventive, or diagnostic purposes. The procedure lasts one hour or less. |
77 | $43 | $197 |
| Leuprolide acetate (for depot suspension), 7.5 mg | 71 | $131 | $621 |
| Intravenous chemotherapy infusion, 1 hour or less Administration of chemotherapy medication directly into a vein. The procedure takes one hour or less to complete. |
65 | $85 | $433 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
64 | $60 | $268 |
| Complex radiation therapy planning | 61 | $130 | $505 |
| Telephone medical discussion, 21-30 minutes A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone. |
60 | $91 | $390 |
| Subcutaneous or intramuscular chemotherapy injection This procedure involves administering anti-cancer hormonal medication through an injection into the tissue under the skin or into a muscle. |
58 | $25 | $106 |
| Methylprednisolone injection, up to 40 mg An injection of methylprednisolone sodium succinate, a corticosteroid medication, administered in a dose of up to 40 mg. |
56 | $3 | $12 |
| Cranial lesion radiation therapy Treatment of a brain lesion using radiation delivered over multiple sessions. |
55 | $755 | $3,454 |
| Diphenhydramine injection, up to 50 mg An injection of diphenhydramine hydrochloride, an antihistamine medication, administered in a dose of up to 50 milligrams. |
43 | $1 | $3 |
| Special radiation treatment | 41 | $94 | $411 |
| New patient office visit, complex (60-74 min) | 41 | $165 | $644 |
| CT scan of chest with contrast A computed tomography scan of the chest using a contrast dye to enhance the visibility of internal structures. |
39 | $48 | $489 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
38 | $34 | $171 |
| Radiation treatment planning, 1 area This procedure involves gathering the necessary data to design the most effective radiation therapy plan for a single treatment area. |
37 | $75 | $306 |
| 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. |
36 | $177 | $859 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
35 | $137 | $540 |
| 3D radiation therapy planning This procedure involves creating a three-dimensional treatment plan for radiation therapy. It uses imaging data to map the target area and surrounding tissues to guide precise radiation delivery. |
33 | $212 | $899 |
| Fractionated radiation therapy for cranial lesion Treatment using radiation delivered in multiple sessions to manage a lesion in the head. |
33 | $490 | $1,944 |
| Additional hour of intravenous infusion This code represents each additional hour of intravenous infusion beyond the initial hour for therapy, prevention, or diagnosis. |
32 | $13 | $61 |
| High precision radiation therapy planning This procedure involves the detailed planning and setup required for delivering high-precision radiation therapy to a target area of the body. |
31 | $1,394 | $5,817 |
| Design and construction of radiation treatment device This code covers the design and construction of a device used for high precision radiation therapy. It does not include the actual administration of radiation treatment. |
31 | $354 | $1,443 |
| 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. |
27 | $5 | $16 |
| Radiation treatment planning, complex This procedure involves obtaining the necessary data to develop an optimal radiation treatment plan for three or more treatment areas, or any number of areas requiring special treatment. |
15 | $332 | $1,461 |
| 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. |
13 | $35 | $284 |
| 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. |
13 | $71 | $352 |
| 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 | $107 | $431 |
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.
57.6% high complexity
39.4% medium
3.0% routine
Industry Payment Transparency
Open Payments through 2024 ↗$6,391
Total received (2018-2024)
Avg $913/year across 7 years
Top 16% in TX for radiology - diagnostic
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
58
Companies
196
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
$313
2023
$2,332
2022
$1,774
2021
$245
2020
$319
2019
$518
2018
$890
Payments by company (2024)
Boston Scientific Corporation
$72
PFIZER INC.
$46
Janssen Biotech, Inc.
$37
Mirati Therapeutics, Inc.
$27
SRS Medical Systems, Inc.
$24
Astellas Pharma US Inc
$24
Genentech USA, Inc.
$23
Sumitomo Pharma America, Inc.
$22
Bayer Healthcare Pharmaceuticals Inc.
$20
Novartis Pharmaceuticals Corporation
$18
Top 3 companies account for 49.3% of 2024 payments
All-time payments by company (2018-2024) ›
PALETTE LIFE SCIENCES, INC.
$1,154
Janssen Biotech, Inc.
$937
Boston Scientific Corporation
$715
Focal Therapeutics, Inc.
$258
RefleXion Medical, Inc.
$213
Blue Earth Diagnostics Limited
$212
ACCURAY INCORPORATED
$204
Novartis Pharmaceuticals Corporation
$190
Palette Life Sciences, Inc.
$166
Accuray Incorporated
$165
Bayer Healthcare Pharmaceuticals Inc.
$163
Medtronic, Inc.
$148
Stryker Corporation
$133
Bayer HealthCare Pharmaceuticals Inc.
$130
Amgen Inc.
$119
PFIZER INC.
$104
Covidien LP
$96
Ipsen Biopharmaceuticals, Inc
$69
Puma Biotechnology, Inc.
$65
AstraZeneca Pharmaceuticals LP
$61
AMAG Pharmaceuticals, Inc.
$59
Merck Sharp & Dohme LLC
$59
Astellas Pharma US Inc
$58
MorphoSys, US Inc.
$53
Seagen Inc.
$50
Taiho Oncology, Inc.
$49
TAIHO ONCOLOGY, INC.
$47
Rigel Pharmaceuticals, Inc.
$44
Sumitomo Pharma America, Inc.
$39
AbbVie, Inc.
$39
Lilly USA, LLC
$37
E.R. Squibb & Sons, L.L.C.
$33
Pharmacyclics LLC, An AbbVie Company
$32
EMD Serono, Inc.
$32
Exelixis Inc.
$30
JAZZ PHARMACEUTICALS INC.
$28
Karyopharm Therapeutics Inc.
$27
Mirati Therapeutics, Inc.
$27
SRS Medical Systems, Inc.
$24
Genentech USA, Inc.
$23
Apellis Pharmaceuticals, Inc.
$23
EUSA Pharma (US) LLC
$21
Alexion Pharmaceuticals, Inc.
$20
SERVIER PHARMACEUTICALS LLC
$20
INSYS Therapeutics Inc
$20
G1 Therapeutics, Inc.
$19
Takeda Pharmaceuticals U.S.A., Inc.
$18
Celgene Corporation
$18
Organon LLC
$18
Blueprint Medicines Corporation
$17
Stemline Therapeutics Inc.
$17
Dova Pharmaceuticals
$14
Octapharma USA, Inc.
$13
Adaptive Biotechnologies Corporation
$13
GENZYME CORPORATION
$13
MACROGENICS, INC.
$12
AbbVie Inc.
$11
Allergan Inc.
$11
Top 3 companies account for 43.9% of all-time payments
Associated products mentioned in payments ›
ADCETRIS · AYVAKIT · Aliqopa · Axumin · BALVERSA · Bavencio · BioZorb · CABOMETYX · CARVYKTI · COSELA · CT3000 Pro Base Unit · CYRAMZA · Cabometyx · CyberKnife System · DARZALEX · Doptelet · ERLEADA · Empaveli · Erleada · FERAHEME · General - BPH · IMBRUVICA · IMFINZI · Imbruvica · KEYTRUDA · KISQALI · KRAZATI · Kyprolis · LIBTAYO · LINZESS · LONSURF · LUMAKRAS · LUTATHERA · LYNPARZA · Lonsurf · MAKO · MARGENZA · MEKINIST · MONJUVI · NINLARO · Nerlynx · Neulasta · Nplate · Nubeqa · ONTRUZANT · ORGOVYX · Orserdu · PADCEV · PANZYGA · PLUVICTO · PROMACTA · Pomalyst · REFLEXION MEDICAL RADIOTHERAPY SYSTEM · Rezlidhia · SIGNIA · SOMATULINE DEPOT · SYNDROS · Somatuline Depot · SpaceOAR VUE System - 10mL · Stivarga · Sylvant · TECVAYLI · Tavalisse · Tibsovo · Tomo Therapy System · ULTOMIRIS · VENCLEXTA · VERZENIO · Venclexta · XPOVIO · XTANDI · XYNTHA · Xofigo · Xospata · Xtandi · iDrive · rezum Generator
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
Radiology - diagnostics in nearby ZIP areas
15
County median income
$108,309
Nearest hospital to ZIP centroid (approximate)
ROCK SPRINGS
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 mixed practice specialist, with above-average Medicare volume (top 2% in TX), with 20 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 iron infusion (feraheme)?
Based on Medicare claims data, Dr. Rivera performed 12,750 iron infusion (feraheme) 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 $6,391 from 58 companies across 196 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 radiology - diagnostics in Georgetown?
Dr. Rivera's average Medicare payment per service is $20. 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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