Active NPI 1083612790 Individual Practitioner Male Practitioner

Dr. Renato Bacol Rivera , MD

Surgery • Breese, IL

Professional Overview & Biography Verified Profile Summary

Dr. Renato Rivera, MD is a registered healthcare professional specializing in Surgery in Breese, IL. Practice services are available at 9515 HOLY CROSS LN STE 175 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of skin growth, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9515 Holy Cross Ln Ste 175

Breese, IL 622303618

Telephone 6185268430

Fax 6185267275

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Breese, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 25.5 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

3 Specialists

Practicing in Breese, IL (1624 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	354	229	$81.00	$56.63
99213 Established patient office or other outpatient visit, typically 15 minutes	253	170	$135.00	$93.33
17000 Destruction of skin growth	123	90	$193.00	$58.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	108	108	$203.00	$113.63
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	105	105	$1604.00	$209.82
17003 Destruction of precancer skin growth, 2-14 growths	70	53	$23.00	$6.41
11104 Punch biopsy, first skin growth	62	53	$185.00	$128.98
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	48	36	$734.00	$310.77
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	39	39	$1174.00	$99.53
17110 Destruction of up to 14 skin growths	31	28	$261.00	$111.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$201.00	$132.38
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	21	21	$977.00	$268.30
43450 Dilation of esophagus	20	20	$538.00	$41.67
11105 Punch biopsy, each additional skin growth	19	15	$59.00	$59.76
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	17	15	$591.00	$126.44
45380 Biopsy of large bowel using an endoscope	16	16	$923.00	$77.21
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	11	$673.00	$144.46
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$773.00	$198.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	246	168	$135.00	$76.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	172	133	$81.00	$46.21
17000 Destruction of skin growth	122	94	$193.00	$62.19
17003 Destruction of precancer skin growth, 2-14 growths	85	66	$23.00	$5.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$203.00	$108.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	60	$201.00	$109.96
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	51	51	$1604.00	$230.96
99202 New patient office or other outpatient visit, typically 20 minutes	37	37	$137.00	$76.73
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	33	31	$1174.00	$106.75
17110 Destruction of up to 14 skin growths	28	27	$261.00	$101.50
11104 Punch biopsy, first skin growth	27	26	$185.00	$126.24
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	26	26	$5412.00	$295.57
43450 Dilation of esophagus	22	22	$538.00	$42.21
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	20	19	$734.00	$299.85
45380 Biopsy of large bowel using an endoscope	18	18	$923.00	$218.21
J1030 Injection, methylprednisolone acetate, 40 mg	18	12	$11.00	$5.82
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$1013.00	$94.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	298	192	$135.00	$74.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	214	172	$81.00	$44.66
17000 Destruction of skin growth	101	71	$193.00	$59.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$203.00	$109.07
99202 New patient office or other outpatient visit, typically 20 minutes	81	81	$137.00	$76.82
17003 Destruction of precancer skin growth, 2-14 growths	65	42	$23.00	$5.78
17110 Destruction of up to 14 skin growths	59	51	$261.00	$105.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	56	$201.00	$109.28
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	49	49	$1604.00	$240.11
11104 Punch biopsy, first skin growth	43	41	$185.00	$120.65
45380 Biopsy of large bowel using an endoscope	42	42	$923.00	$207.30
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	28	28	$1174.00	$97.07
45378 Diagnostic exam of large bowel using a flexible endoscope	24	23	$1353.00	$198.99
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	20	17	$734.00	$307.87
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	17	17	$773.00	$202.95
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	15	11	$382.00	$176.82
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	12	$591.00	$155.59
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$1013.00	$89.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	336	215	$135.00	$72.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	199	148	$81.00	$43.46
99202 New patient office or other outpatient visit, typically 20 minutes	144	144	$137.00	$74.97
17003 Destruction of precancer skin growth, 2-14 growths	115	35	$23.00	$5.36
17000 Destruction of skin growth	109	71	$193.00	$55.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$203.00	$108.98
17110 Destruction of up to 14 skin growths	59	49	$261.00	$108.03
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	49	49	$1604.00	$239.51
11100 Biopsy of single growth of skin and/or tissue	48	47	$248.00	$102.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	38	$199.37	$107.27
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	32	$1174.00	$77.99
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	31	31	$1604.00	$421.00
45378 Diagnostic exam of large bowel using a flexible endoscope	28	28	$1353.00	$197.20
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	22	20	$734.00	$281.80
45378 Diagnostic exam of large bowel using a flexible endoscope	21	21	$1353.00	$259.58
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	19	19	$773.00	$195.13
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	17	15	$647.00	$198.86
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	16	$1013.00	$85.83
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	17	17	$5412.00	$293.91
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	12	$652.00	$183.25
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	13	$591.00	$169.52
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	14	11	$382.00	$154.44
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$1174.00	$260.77
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	13	12	$585.00	$183.55
43249 Balloon dilation of esophagus using an endoscope	12	12	$1724.00	$130.57
45380 Biopsy of large bowel using an endoscope	11	11	$923.00	$162.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	430	288	$135.00	$71.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	338	231	$81.00	$42.69
17003 Destruction of precancer skin growth, 2-14 growths	210	51	$23.00	$5.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	172	172	$203.00	$108.86
17000 Destruction of skin growth	159	99	$193.00	$58.54
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	108	107	$1604.00	$248.83
17110 Destruction of up to 14 skin growths	51	46	$261.00	$102.33
99202 New patient office or other outpatient visit, typically 20 minutes	50	50	$137.00	$74.46
11100 Biopsy of single growth of skin and/or tissue	48	47	$253.17	$95.96
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	40	40	$1174.00	$92.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	22	$201.00	$106.92
45380 Biopsy of large bowel using an endoscope	33	33	$1342.39	$150.99
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	30	29	$585.00	$197.55
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	26	26	$773.00	$199.93
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	21	$1013.00	$88.92
43450 Dilation of esophagus	18	18	$538.00	$42.68
J1030 Injection, methylprednisolone acetate, 40 mg	16	11	$11.00	$5.68
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$1353.00	$202.25
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$591.00	$217.70
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	11	11	$647.00	$234.71

Medical Specialties & State Licenses

CMS Verified: 2021-12-30

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036045712

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036045712 (IL)

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Osman Mahdi Babikir , MD

Surgery

NPI 1104143510

Doctor of Medicine (M.D.)

Dr. Erin Robke , DNP, FNP-BC

Nurse Practitioner - Family

NPI 1245009349

Doctor of Nursing Practice, Family Nurse Practitioner (Board Certified)

Dr. Jacob Wengert , DC, FNP

Nurse Practitioner

NPI 1689097768

Doctor of Chiropractic, Family Nurse Practitioner

Dr. Ulunna Macbean , MD

Surgery

NPI 1962660753

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location December 30, 2021

Registered at 9515 HOLY CROSS LN STE 175, BREESE, IL 622303618 (Tel: 6185268430)

✅

NPI Profile Active June 15, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 15, 2011

Registered at 9401 HOLY CROSS LN, SUITE 111, BREESE, IL 622303510 (Tel: 6185267133)

📍

Updated Business Mailing Address June 15, 2011

Registered at 9401 HOLY CROSS LN, SUITE 111, BREESE, IL 622303510 (Tel: 6185267133)

👤

Provider Name / Credentials Updated June 15, 2011

Recorded as RENATO RIVERA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2011

Surgery (License #036045712 in IL)

🟢

Initial NPI Registration & Enumeration July 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083612790

Entity Type:

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

Enumeration Date: July 07, 2005

Last Update: December 30, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9401 Holy Cross Ln, Suite 111

Breese, IL 622303510

Phone: 6185267133

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.