Active NPI 1205853843 Individual Practitioner Male Practitioner

Dr. Raul A Rivera , MD

Internal Medicine • Pasadena, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Raul Rivera, MD is a certified Internal Medicine practicing in Pasadena, TX. With approximately 39 years of clinical experience since completing medical education in 1987, Dr. Rivera delivers high-quality medical care to the local community at 3808 WOODLAWN.

Dr. Rivera accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, injection, ceftriaxone sodium, per 250 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3808 Woodlawn

Pasadena, TX 775041933

Telephone 7139444042

Fax 7139445247

Associated Practice Facility / Clinic

🏢 Dr Rivera & Associates, P.a. Facility NPI 1700803467

Medicare Profile & Education

Medical School

Other

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Pasadena, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +11.9 yrs vs City Avg

City Avg: 27.1 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

36 Specialists

Practicing in Pasadena, TX (9538 Statewide)

Telehealth Adoption Rate

19.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rivera (39 Years) 39 Yrs

Pasadena Specialty Average (27.1 Years) 27.1 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
99213 Established patient office or other outpatient visit, typically 15 minutes	181	54	$125.00	$91.57
36415 Insertion of needle into vein for collection of blood sample	121	58	$10.00	$8.65
J0696 Injection, ceftriaxone sodium, per 250 mg	76	15	$25.00	$0.46
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	64	31	$50.00	$14.34
J1100 Injection, dexamethasone sodium phosphate, 1 mg	44	28	$25.00	$0.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	42	42	$300.00	$129.88
81002 Urinalysis, manual test	38	18	$10.00	$3.41
G0444 Annual depression screening, 5 to 15 minutes	33	33	$30.00	$18.74
93000 Routine ekg using at least 12 leads including interpretation and report	26	25	$50.00	$14.48
96160 Administration and interpretation of patient-focused health risk assessment	22	21	$200.00	$2.96
G0008 Administration of influenza virus vaccine	18	18	$40.00	$32.75
92548 Assessment of balance and postural instability	17	15	$100.00	$47.01
94010 Test to measure expiratory airflow and volume	16	16	$50.00	$27.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	247	67	$125.00	$91.08
36415 Insertion of needle into vein for collection of blood sample	148	67	$10.00	$8.40
J0696 Injection, ceftriaxone sodium, per 250 mg	129	21	$25.00	$0.52
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	70	30	$50.00	$14.35
81002 Urinalysis, manual test	50	19	$10.00	$3.41
93000 Routine ekg using at least 12 leads including interpretation and report	47	47	$50.00	$14.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	46	46	$300.00	$130.57
J1100 Injection, dexamethasone sodium phosphate, 1 mg	31	19	$25.00	$0.13
92548 Assessment of balance and postural instability	28	26	$100.00	$48.12
95923 Testing of autonomic (sympathetic) nervous system function	26	22	$300.00	$125.22
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	25	11	$75.00	$42.04
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	22	22	$50.00	$20.46
G0008 Administration of influenza virus vaccine	22	22	$40.00	$31.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	14	$175.00	$130.30
99496 Transitional care management services for problem of high complexity	19	16	$300.00	$275.57
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	19	13	$20.00	$12.90
94060 Test to measure expiratory airflow and volume changes before and after medication administration	18	18	$90.00	$39.38
94010 Test to measure expiratory airflow and volume	16	16	$50.00	$27.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	247	80	$120.55	$91.82
36415 Insertion of needle into vein for collection of blood sample	185	94	$10.00	$2.96
J0696 Injection, ceftriaxone sodium, per 250 mg	132	27	$25.00	$0.49
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	89	44	$50.00	$14.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	69	69	$300.00	$134.45
93000 Routine ekg using at least 12 leads including interpretation and report	65	62	$50.00	$14.77
J1100 Injection, dexamethasone sodium phosphate, 1 mg	53	38	$25.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	27	$173.72	$132.01
94060 Test to measure expiratory airflow and volume changes before and after medication administration	37	37	$90.00	$40.55
92548 Assessment of balance and postural instability	37	37	$100.00	$50.43
81002 Urinalysis, manual test	33	21	$10.00	$3.44
95923 Testing of autonomic (sympathetic) nervous system function	31	26	$300.00	$131.86
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	30	11	$75.00	$42.24
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	24	16	$20.00	$13.01
G0008 Administration of influenza virus vaccine	22	21	$39.55	$30.29
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	19	19	$50.00	$31.63
99496 Transitional care management services for problem of high complexity	15	12	$300.00	$274.58
93922 Ultrasound study of arm and leg arteries	15	13	$150.00	$85.89
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$200.00	$170.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	336	98	$95.00	$93.56
36415 Insertion of needle into vein for collection of blood sample	215	104	$10.00	$3.00
J0696 Injection, ceftriaxone sodium, per 250 mg	182	29	$24.73	$0.54
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	106	45	$50.00	$14.69
93000 Routine ekg using at least 12 leads including interpretation and report	76	71	$50.00	$15.37
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	71	71	$300.00	$137.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	43	$150.00	$133.52
J1100 Injection, dexamethasone sodium phosphate, 1 mg	55	36	$25.00	$0.15
81002 Urinalysis, manual test	54	32	$10.00	$3.48
G0008 Administration of influenza virus vaccine	53	53	$30.00	$17.57
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	53	53	$60.00	$19.91
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	36	11	$75.00	$42.59
94060 Test to measure expiratory airflow and volume changes before and after medication administration	33	32	$90.00	$48.40
91300 Sarscov2 vac 30mcg/0.3ml im	25	19	$50.00	$0.01
93922 Ultrasound study of arm and leg arteries	23	23	$150.00	$89.56
99496 Transitional care management services for problem of high complexity	21	15	$300.00	$284.99
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	21	14	$20.00	$13.58
93040 Tracing of electrical activity of heart using 1-3 leads with interpretation and report	13	13	$22.00	$13.21
0003A Adm sarscov2 30mcg/0.3ml 3rd	12	12	$50.00	$41.24
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	11	$100.00	$54.78
95923 Testing of autonomic (sympathetic) nervous system function	12	11	$300.00	$137.39
94010 Test to measure expiratory airflow and volume	11	11	$50.00	$30.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	418	129	$95.00	$71.38
36415 Insertion of needle into vein for collection of blood sample	218	119	$10.00	$2.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	92	92	$300.00	$118.93
J0696 Injection, ceftriaxone sodium, per 250 mg	90	18	$25.00	$0.59
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	70	43	$50.00	$14.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	45	$150.00	$111.68
93000 Routine ekg using at least 12 leads including interpretation and report	64	61	$49.53	$17.59
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	57	57	$59.82	$19.17
G0008 Administration of influenza virus vaccine	57	57	$30.00	$17.16
81002 Urinalysis, manual test	52	35	$10.00	$3.46
94060 Test to measure expiratory airflow and volume changes before and after medication administration	45	44	$89.28	$61.14
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	44	18	$75.00	$42.10
J1100 Injection, dexamethasone sodium phosphate, 1 mg	35	28	$25.00	$0.13
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	27	24	$20.00	$13.60
99496 Transitional care management services for problem of high complexity	19	16	$300.00	$251.97
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	14	$100.00	$54.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	466	149	$94.84	$75.18
36415 Insertion of needle into vein for collection of blood sample	310	148	$10.00	$2.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	164	74	$50.00	$16.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	139	92	$149.32	$110.16
93000 Routine ekg using at least 12 leads including interpretation and report	130	114	$49.77	$17.19
J0696 Injection, ceftriaxone sodium, per 250 mg	129	49	$24.22	$0.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	108	108	$300.00	$117.39
81002 Urinalysis, manual test	99	57	$9.94	$3.41
J1100 Injection, dexamethasone sodium phosphate, 1 mg	87	61	$25.00	$0.12
94060 Test to measure expiratory airflow and volume changes before and after medication administration	60	59	$90.00	$60.28
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	57	19	$75.00	$41.69
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	56	56	$50.00	$17.48
G0008 Administration of influenza virus vaccine	55	55	$30.00	$16.82
95923 Testing of autonomic (sympathetic) nervous system function	25	23	$300.00	$130.95
99496 Transitional care management services for problem of high complexity	19	13	$300.00	$234.40
93922 Ultrasound study of arm and leg arteries	19	18	$150.00	$87.68
G0444 Annual depression screening, 5 to 15 minutes	18	18	$30.00	$18.26
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	14	$100.00	$53.88
99495 Transitional care management services for problem of at least moderate complexity	14	12	$200.00	$166.24
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$200.00	$157.72
93040 Tracing of electrical activity of heart using 1-3 leads with interpretation and report	11	11	$22.00	$12.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	543	151	$94.87	$73.86
36415 Insertion of needle into vein for collection of blood sample	319	157	$10.00	$2.93
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	126	63	$49.84	$20.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	75	$149.61	$109.31
93000 Routine ekg using at least 12 leads including interpretation and report	116	101	$50.22	$17.28
81002 Urinalysis, manual test	84	47	$10.00	$3.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	76	76	$297.30	$118.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg	73	49	$25.00	$0.12
J0696 Injection, ceftriaxone sodium, per 250 mg	71	27	$24.65	$0.62
94060 Test to measure expiratory airflow and volume changes before and after medication administration	60	56	$90.00	$61.97
82044 Urine microalbumin (protein) analysis	56	48	$15.89	$6.11
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	55	20	$75.00	$42.36
G0008 Administration of influenza virus vaccine	53	53	$30.00	$20.73
90756 Vaccine for influenza for injection into muscle	52	52	$60.00	$22.33
95923 Testing of autonomic (sympathetic) nervous system function	38	36	$300.00	$132.77
99496 Transitional care management services for problem of high complexity	31	23	$300.00	$236.01
92542 Test for abnormal eye movement using 3 positions with recording	21	19	$75.00	$28.79
92547 Use of electrodes during balance testing	21	19	$10.00	$6.09
92546 Test for abnormal eye movement using a rotating chair	21	19	$125.00	$106.16
G0444 Annual depression screening, 5 to 15 minutes	16	16	$30.00	$18.23
G0442 Annual alcohol misuse screening, 5 to 15 minutes	15	15	$30.00	$18.59
93922 Ultrasound study of arm and leg arteries	14	14	$150.00	$90.30
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	11	11	$50.00	$17.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	446	152	$94.01	$73.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	173	99	$150.00	$107.98
93000 Routine ekg using at least 12 leads including interpretation and report	142	121	$50.18	$17.19
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	134	62	$30.15	$25.74
36415 Insertion of needle into vein for collection of blood sample	115	84	$10.00	$2.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	101	101	$287.13	$115.69
J1100 Injection, dexamethasone sodium phosphate, 1 mg	74	51	$25.61	$0.12
81002 Urinalysis, manual test	67	38	$10.00	$3.43
G0444 Annual depression screening, 5 to 15 minutes	62	62	$30.00	$18.14
J0696 Injection, ceftriaxone sodium, per 250 mg	60	24	$22.50	$0.65
G0008 Administration of influenza virus vaccine	59	58	$30.00	$25.60
95923 Testing of autonomic (sympathetic) nervous system function	59	55	$300.00	$141.65
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	57	57	$60.00	$17.34
99496 Transitional care management services for problem of high complexity	36	31	$300.00	$233.30
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	35	17	$75.00	$41.82
94060 Test to measure expiratory airflow and volume changes before and after medication administration	33	30	$89.24	$61.63
95250 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment	19	16	$200.00	$158.74
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	12	$100.00	$54.31
86580 Skin test for tuberculosis	13	13	$10.00	$8.19
93922 Ultrasound study of arm and leg arteries	11	11	$150.00	$89.70

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX J9302

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

123992304 (TX)

Medicaid State Provider ID

123992306 (TX)

Commercial Insurance / Payer ID Medicare Id

110149344 (TX)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 15, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location August 15, 2012

Registered at 3808 WOODLAWN, PASADENA, TX 775041933 (Tel: 7139444042)

📍

Updated Business Mailing Address August 15, 2012

Registered at 3808 WOODLAWN, PASADENA, TX 775041933 (Tel: 7139444042)

👤

Provider Name / Credentials Updated August 15, 2012

Recorded as RAUL RIVERA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2012

Internal Medicine (License #J9302 in TX)

🟢

Initial NPI Registration & Enumeration July 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1205853843

Entity Type:

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

Enumeration Date: July 17, 2006

Last Update: August 15, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3808 Woodlawn

Pasadena, TX 775041933

Phone: 7139444042

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.