Active NPI 1053668806 Individual Practitioner Male Practitioner

Dr. Albert Rivero , MD

Internal Medicine • Provo, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Albert Rivero, MD is a certified Internal Medicine practicing in Provo, UT. With approximately 24 years of clinical experience since completing medical education in 2002, Dr. Rivero delivers high-quality medical care to the local community at 1134 N 500 W STE 101.

Dr. Rivero is affiliated with Ihc Health Services Inc 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, follow-up hospital inpatient care per day, hospital discharge day management. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1134 N 500 W Ste 101

Provo, UT 846045569

Telephone 8013578310

Associated Practice Facility / Clinic

🏢 Ihc Health Services Inc Facility NPI 1134259294

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Provo, UT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +4.5 yrs vs City Avg

City Avg: 19.5 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

33 Specialists

Practicing in Provo, UT (700 Statewide)

Telehealth Adoption Rate

18.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rivero (24 Years) 24 Yrs

Provo Specialty Average (19.5 Years) 19.5 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	276	141	$184.18	$73.62
99231 Follow-up hospital inpatient care per day, typically 15 minutes	89	42	$113.00	$46.13
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	85	75	$232.11	$110.58
99238 Hospital discharge day management, 30 minutes or less	74	73	$182.12	$75.66
99239 Hospital discharge day management, more than 30 minutes	24	24	$244.67	$106.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$354.86	$161.75

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	308	147	$117.25	$75.94
99231 Follow-up hospital inpatient care per day, typically 15 minutes	154	82	$64.66	$47.54
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	138	112	$170.88	$114.25
99239 Hospital discharge day management, more than 30 minutes	118	117	$173.00	$109.65
99238 Hospital discharge day management, 30 minutes or less	33	33	$117.09	$77.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$327.27	$166.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$222.19	$124.90

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	251	127	$115.14	$68.13
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	198	141	$166.50	$97.62
99239 Hospital discharge day management, more than 30 minutes	117	114	$171.67	$100.42
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	55	54	$322.75	$190.79
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	29	$63.10	$37.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$218.47	$130.01
99217 Hospital observation care on day of discharge	15	15	$116.20	$68.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	245	146	$164.00	$98.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	178	101	$113.00	$69.57
99239 Hospital discharge day management, more than 30 minutes	141	136	$167.00	$102.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	65	64	$318.00	$193.80
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	29	$62.00	$37.21
99217 Hospital observation care on day of discharge	19	19	$113.00	$69.62
99291 Critical care, first 30-74 minutes	14	11	$512.00	$190.07

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	274	167	$118.00	$71.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	222	155	$172.00	$103.42
99239 Hospital discharge day management, more than 30 minutes	188	175	$173.00	$105.23
99231 Follow-up hospital inpatient care per day, typically 15 minutes	116	72	$67.00	$37.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	61	61	$332.00	$200.70
99238 Hospital discharge day management, 30 minutes or less	23	23	$117.00	$71.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$225.00	$136.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	330	145	$67.00	$39.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	256	158	$118.00	$72.27
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	131	89	$172.00	$103.17
99239 Hospital discharge day management, more than 30 minutes	123	117	$173.00	$106.21
99238 Hospital discharge day management, 30 minutes or less	72	66	$117.00	$72.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	59	58	$332.00	$200.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	32	$225.00	$137.46
99217 Hospital observation care on day of discharge	15	15	$118.00	$72.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	305	172	$172.00	$102.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	264	147	$118.00	$72.04
99239 Hospital discharge day management, more than 30 minutes	185	176	$163.00	$105.48
99231 Follow-up hospital inpatient care per day, typically 15 minutes	94	63	$67.00	$38.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	62	61	$319.32	$196.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$213.46	$135.68
99238 Hospital discharge day management, 30 minutes or less	22	22	$112.00	$72.04
99291 Critical care, first 30-74 minutes	18	15	$455.00	$221.71

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	294	158	$118.00	$69.89
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	126	93	$172.00	$99.40
99231 Follow-up hospital inpatient care per day, typically 15 minutes	96	62	$67.00	$37.99
99238 Hospital discharge day management, 30 minutes or less	80	79	$112.00	$71.04
99239 Hospital discharge day management, more than 30 minutes	63	62	$163.00	$103.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	57	57	$332.00	$199.93
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	34	$225.00	$135.12

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License UT 9316286-1205

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.

Internal Medicine - Infectious Disease

NUCC Taxonomy Code: 207RI0200X

State License UT 9316286-1205

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Hospital & Practice Group Affiliations

Ihc Health Services Inc

700 S Hwy 99, Fillmore, UT 846315137

Phone: 8013574600

Ihc Health Services Inc

1034 N 500, Provo, UT 846043380

Phone: 8013578879

Ihc Health Services Inc

1034 N 500, Provo, UT 846043380

Phone: 8013578310

Practice Associates & Co-Workers

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

24 Associated Practitioners

Dr. Jared Kuntz , DO

Hospitalist

NPI 1073002994

Doctor of Osteopathic Medicine (D.O.)

Dr. Michael Jolley , MD

Internal Medicine

NPI 1114197159

Doctor of Medicine (M.D.)

Dr. Corey Chipman , MD

Internal Medicine

NPI 1134316037

Doctor of Medicine (M.D.)

Dr. Mazen Sires , MD

Hospitalist

NPI 1154370765

Doctor of Medicine (M.D.)

Dr. Brian Larson , MD

Hospitalist

NPI 1174987374

Doctor of Medicine (M.D.)

Dr. Zachary Pugh , MD

Internal Medicine

NPI 1215323399

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 October 02, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 02, 2015

Registered at 1134 N 500 W STE 101, PROVO, UT 846045569 (Tel: 8013578310)

📍

Updated Business Mailing Address October 02, 2015

Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128 (Tel: 8013588310)

👤

Provider Name / Credentials Updated October 02, 2015

Recorded as ALBERT RIVERO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2015

Internal Medicine (License #9316286-1205 in UT)

🟢

Initial NPI Registration & Enumeration August 11, 2012

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: 1053668806

Entity Type:

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

Enumeration Date: August 11, 2012

Last Update: October 02, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 27128

Salt Lake City, UT 841270128

Phone: 8013588310

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.