Physician

Rigoberto Pena, MD

According to 2025 Medicare claims, Rigoberto Pena, MD (NPI: 1578509642) practices internal medicine in the Fort Lauderdale-Pompano Beach-Sunrise, FL market, with the plurality of this provider's patient population coming from Broward, FL. This provider's primary affiliated billing organization is METROPOLITAN HEALTH CARE GROUP INC (NPI: 1962109611; TIN: 881495908) and primary practice location at 33321-1122. Pena is affiliated with the Broward Guardian, LLC (ACO ID: A2286), participating under the MSSP model.

Pena's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 130 traditional Medicare patients, billed 1,940 HCPCS/CPT codes, and received $1,524,428 in Medicare payments. The top billing code was 99236 (Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes). Part D data shows 3,504 prescription claims across 436 beneficiaries totaling $182,525 in drug costs, led by Eliquis (Apixaban). DME data shows 24 claims. 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 moved up and down with repeated peaks and valleys, starting at $137,043 and ending at $1,524,428. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $86,481 and ending at $182,525. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $3,015 and ending at $1,339.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	414	1,877	$137,043
2016	448	2,624	$190,190
2017	384	1,954	$135,250
2018	359	1,863	$142,254
2019	340	2,079	$159,459
2020	209	1,190	$88,266
2021	236	1,800	$127,076
2022	214	1,422	$123,612
2023	145	800	$59,366
2024	130	1,940	$1,524,428

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	648	1,871	$86,481
2016	873	2,726	$103,678
2017	716	1,776	$70,154
2018	743	1,920	$83,971
2019	581	1,509	$60,634
2020	414	1,050	$44,494
2021	368	961	$51,785
2022	404	957	$39,547
2023	319	1,524	$97,506
2024	436	3,504	$182,525

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	20	$1,101
2016	N/R	105	$1,702
2017	N/R	129	$2,657
2018	N/R	158	$3,491
2019	N/R	150	$4,198
2020	N/R	91	$2,265
2021	N/R	11	$114
2022	N/R	51	$1,291
2023	N/R	111	$2,993
2024	N/R	24	$1,183

* / # = 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
99236	Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	33	33	$167
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	59	65	$106
99238	Hospital discharge day management, 30 minutes or less	48	54	$65
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	49	225	$63
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	23	56	$52

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	34	1,483	$27,991
Farxiga	Dapagliflozin Propanediol	13	570	$10,618
Tadalafil	Tadalafil	12	332	$3,325
Lantus	Insulin Glargine,hum.Rec.Anlog	14	598	$2,041
Atorvastatin Calcium	Atorvastatin Calcium	251	19,560	$2,001

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	12	$981
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	12	$202

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 Rigoberto Pena, MD?

Tedicare shows public-source Medicare data for Rigoberto Pena, MD (NPI 1578509642), 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 Rigoberto Pena, MD have ACO affiliation data?

Rigoberto Pena, MD is shown with ACO affiliation data for Broward Guardian, LLC (MSSP, ACO ID A2286).

What billing organization is linked to Rigoberto Pena, MD?

Rigoberto Pena, MD is linked to METROPOLITAN HEALTH CARE GROUP INC (billing NPI 1962109611) in the available physician profile data.

Does Rigoberto Pena, 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.