Physician

Anthony Rivera, MD

According to 2025 Medicare claims, Anthony Rivera, MD (NPI: 1487860524) practices physical medicine and rehabilitation in the Raleigh-Cary, NC market, with the plurality of this provider's patient population coming from Wake, NC. This provider's primary affiliated billing organization is DUKE HEALTH INTEGRATED PRACTICE, INC. (NPI: 1205553369; TIN: 862109896) and primary practice location at 27560-5676. Rivera is affiliated with the Duke Connected Care, LLC (ACO ID: A2419), participating under the MSSP model.

Rivera's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 270 traditional Medicare patients, billed 2,244 HCPCS/CPT codes, and received $84,238 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 202 prescription claims across 103 beneficiaries totaling $13,714 in drug costs, led by Methylprednisolone (Methylprednisolone). No Open Payments records. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has fallen sharply in recent years, from $173,724 to $84,238. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $6,059 and ending at $13,714. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	401	6,543	$173,724
2016	386	7,091	$172,440
2017	393	7,607	$199,760
2018	391	7,166	$196,811
2019	334	5,277	$169,997
2020	314	3,763	$125,353
2021	347	4,506	$196,427
2022	331	4,436	$176,037
2023	255	1,755	$70,224
2024	270	2,244	$84,238

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	78	191	$6,059
2016	50	149	$2,457
2017	40	112	$2,155
2018	39	93	$5,536
2019	45	110	$3,287
2020	58	138	$2,595
2021	62	146	$5,992
2022	98	219	$4,419
2023	83	169	$2,438
2024	103	202	$13,714

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	161	161	$109
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	121	$85
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	141	156	$12
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	144	964	$1
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	104	385	$0

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Methylprednisolone	Methylprednisolone	76	457	$428
Gabapentin	Gabapentin	43	1,350	$276
Levetiracetam	Levetiracetam	13	480	$79
Tizanidine Hcl	Tizanidine Hcl	13	320	$9
Tramadol Hcl	Tramadol Hcl	11	51	$7

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Anthony Rivera, MD?

Tedicare shows public-source Medicare data for Anthony Rivera, MD (NPI 1487860524), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Anthony Rivera, MD have ACO affiliation data?

Anthony Rivera, MD is shown with ACO affiliation data for Duke Connected Care, LLC (MSSP, ACO ID A2419).

What billing organization is linked to Anthony Rivera, MD?

Anthony Rivera, MD is linked to DUKE HEALTH INTEGRATED PRACTICE, INC. (billing NPI 1205553369) in the available physician profile data.

Does Anthony Rivera, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.