Active NPI 1215032446 Individual Practitioner Male Practitioner

Dr. Carlos Torres-Rivera , MD

Internal Medicine - Nephrology • St Augustine, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Carlos Torres-Rivera, MD is a certified Internal Medicine - Nephrology practicing in St Augustine, FL. With approximately 41 years of clinical experience since completing medical education in 1985, Dr. Torres-Rivera delivers high-quality medical care to the local community at 204 SOUTHPARK CIR E.

Dr. Torres-Rivera is affiliated with Amir A Malik Md Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

204 Southpark Cir E

St Augustine, FL 320865135

Telephone 9048298300

Fax 9048298310

Associated Practice Facility / Clinic

🏢 Amir A Malik Md Pa Facility NPI 1992800106

Medicare Profile & Education

Medical School

Other

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in St Augustine, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +4.8 yrs vs City Avg

City Avg: 36.2 Yrs

State Avg: 28.0 Yrs

Regional Practice Density

7 Specialists

Practicing in St Augustine, FL (865 Statewide)

Telehealth Adoption Rate

28.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Torres-Rivera (41 Years) 41 Yrs

St Augustine Specialty Average (36.2 Years) 36.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	583	166	$133.75	$76.56
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	517	198	$202.34	$115.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	462	236	$251.74	$110.17
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	223	181	$290.29	$169.00
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	104	15	$691.94	$345.03
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	38	38	$260.34	$125.40
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	36	18	$20.56	$1.30
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	36	18	$27.66	$13.71
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	32	13	$577.28	$285.17
99238 Hospital discharge day management, 30 minutes or less	20	15	$137.31	$78.47
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$435.63	$216.26
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$326.61	$137.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	592	155	$133.79	$78.61
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	468	187	$204.05	$117.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	430	235	$220.57	$109.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	167	149	$314.62	$172.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	74	74	$230.49	$120.72
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	71	13	$787.06	$345.76
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	49	20	$7.45	$1.63
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	49	20	$32.59	$13.72
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	45	16	$612.70	$289.56
99238 Hospital discharge day management, 30 minutes or less	23	20	$139.80	$79.84
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$348.17	$217.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	579	135	$83.00	$71.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	446	248	$135.00	$128.26
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	249	141	$118.00	$103.35
90935 Hemodialysis procedure with physician evaluation	206	37	$108.00	$73.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	156	126	$234.00	$200.30
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	90	23	$943.02	$352.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	82	82	$161.95	$131.09
90947 Dialysis procedure requiring repeat evaluation	61	17	$181.00	$127.06
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	51	17	$758.00	$293.76
99238 Hospital discharge day management, 30 minutes or less	37	26	$105.00	$72.21
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	33	17	$5.00	$1.71
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	31	17	$39.00	$14.21
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$258.64	$224.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$203.00	$182.90
99495 Transitional care management services for problem of at least moderate complexity	11	11	$326.00	$207.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	519	265	$135.05	$130.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	465	126	$83.00	$72.71
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	260	144	$118.26	$104.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	145	127	$234.00	$203.33
90935 Hemodialysis procedure with physician evaluation	106	35	$108.00	$74.32
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	89	17	$948.00	$366.06
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	80	80	$162.00	$133.64
90947 Dialysis procedure requiring repeat evaluation	55	16	$181.00	$126.63
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	39	22	$39.00	$14.11
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	39	22	$5.00	$1.97
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	36	12	$758.00	$302.52
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$256.00	$225.70
99238 Hospital discharge day management, 30 minutes or less	19	15	$105.00	$72.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	15	$189.18	$183.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	473	252	$134.72	$109.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	444	142	$83.00	$74.27
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	267	154	$118.00	$107.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	170	148	$234.00	$208.44
90935 Hemodialysis procedure with physician evaluation	129	37	$108.00	$75.83
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	127	31	$948.00	$291.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	77	77	$186.65	$116.30
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	62	25	$758.00	$245.70
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	33	33	$256.00	$211.76
99238 Hospital discharge day management, 30 minutes or less	19	14	$105.00	$74.80
99495 Transitional care management services for problem of at least moderate complexity	15	14	$326.00	$185.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	593	278	$135.08	$107.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	429	143	$83.00	$73.37
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	207	134	$118.00	$104.84
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	189	39	$948.00	$285.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	147	123	$234.00	$204.04
90935 Hemodialysis procedure with physician evaluation	108	42	$108.00	$74.06
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	84	37	$758.00	$239.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	76	76	$164.28	$114.95
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	36	36	$258.06	$206.81
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	26	14	$39.00	$16.38
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	25	13	$5.00	$1.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	24	$186.84	$144.93
99239 Hospital discharge day management, more than 30 minutes	17	13	$144.00	$107.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	644	322	$135.27	$105.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	554	168	$83.00	$73.27
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	201	53	$948.00	$282.58
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	181	125	$118.00	$104.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	173	139	$236.08	$204.32
90935 Hemodialysis procedure with physician evaluation	137	43	$108.00	$73.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	101	101	$167.27	$115.14
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	90	42	$758.00	$236.96
90947 Dialysis procedure requiring repeat evaluation	52	14	$181.00	$124.48
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	23	12	$5.00	$1.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	23	12	$39.00	$19.99
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$256.00	$206.98
G0008 Administration of influenza virus vaccine	22	21	$25.00	$19.91
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	22	21	$30.00	$17.48
90962 Dialysis services, 1 physician visit per month (20 years or older)	16	13	$550.00	$176.98
99239 Hospital discharge day management, more than 30 minutes	11	11	$144.00	$107.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	926	232	$83.68	$71.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	722	330	$135.14	$105.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	239	186	$234.97	$203.34
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	224	162	$118.52	$104.59
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	180	42	$948.00	$281.09
90935 Hemodialysis procedure with physician evaluation	153	44	$108.00	$72.25
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	147	52	$758.00	$235.85
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	84	84	$161.35	$113.94
90962 Dialysis services, 1 physician visit per month (20 years or older)	37	30	$550.00	$173.61
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	32	31	$30.00	$17.48
G0008 Administration of influenza virus vaccine	32	31	$25.00	$24.50
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	32	32	$256.00	$205.96
90937 Hemodialysis procedure requiring repeated evaluation	31	22	$177.00	$104.15
99238 Hospital discharge day management, 30 minutes or less	23	20	$105.00	$72.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	19	$234.00	$137.53
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	15	14	$550.00	$125.27
99239 Hospital discharge day management, more than 30 minutes	12	11	$144.00	$107.20

Medical Specialties & State Licenses

CMS Verified: 2020-08-05

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License FL ME79485

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Hospital & Practice Group Affiliations

Amir A Malik Md Pa

204 Southpark E Cir, Saint Augustine, FL 320865135

Phone: 9048298300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Adey Hasan , MD

Internal Medicine - Nephrology

NPI 1043516511

Doctor of Medicine (M.D.)

Dr. Maryam Qadir , MD

Internal Medicine

NPI 1265600365

Doctor of Medicine (M.D.)

Elizabeth Muchmore , PA-C, MMS, MS, RD

Physician Assistant

NPI 1306228952

Physician Assistant (Certified), MMS, Master of Science, Registered Dietitian

Dr. Amir Malik , MD

Internal Medicine

NPI 1386749505

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active June 03, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location June 03, 2014

Registered at 204 SOUTHPARK CIR E, ST AUGUSTINE, FL 320865135 (Tel: 9048298300)

📍

Updated Business Mailing Address June 03, 2014

Registered at PO BOX 1779, ST AUGUSTINE, FL 320851779 (Tel: 9048244990)

👤

Provider Name / Credentials Updated June 03, 2014

Recorded as CARLOS TORRES-RIVERA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2014

Internal Medicine (License #ME79485 in FL)

🟢

Initial NPI Registration & Enumeration September 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Carlos Torres-Rivera. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1215032446

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 13, 2006

Last Update: August 05, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1779

St Augustine, FL 320851779

Phone: 9048244990

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.