Physician

Alfredo C Rivadeneira, MD

According to 2025 Medicare claims, Alfredo Rivadeneira, MD (NPI: 1760543896) practices rheumatology 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 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL (NPI: 1780669200; TIN: 561732213) and primary practice location at 27514-2286. Rivadeneira is affiliated with the CHESS Genesis, LLC (ACO ID: D0237), participating under the REACH model.

Rivadeneira's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 141 traditional Medicare patients, billed 383 HCPCS/CPT codes, and received $15,867 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 1,744 prescription claims across 191 beneficiaries totaling $1,972,676 in drug costs, led by Humira(Cf) Pen (Adalimumab). 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 changed little. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $968,194 to $1,972,676. 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.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$11K$22K2015 Medicare payment: $17,197 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $18,858 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $20,670 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $21,794 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $21,970 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $15,127 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $16,121 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $19,175 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $15,718 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $15,867 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015207410$17,197
2016199415$18,858
2017219441$20,670
2018237460$21,794
2019218853$21,970
2020193353$15,127
2021164267$16,121
2022181335$19,175
2023141310$15,718
2024141383$15,867

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$1.0M$2.1M2015 Drug cost: $968,194 (USD; Tot_Drug_Cst)2016 Drug cost: $746,902 (USD; Tot_Drug_Cst)2017 Drug cost: $799,878 (USD; Tot_Drug_Cst)2018 Drug cost: $1,106,814 (USD; Tot_Drug_Cst)2019 Drug cost: $1,515,867 (USD; Tot_Drug_Cst)2020 Drug cost: $1,668,351 (USD; Tot_Drug_Cst)2021 Drug cost: $1,726,534 (USD; Tot_Drug_Cst)2022 Drug cost: $1,995,001 (USD; Tot_Drug_Cst)2023 Drug cost: $2,080,229 (USD; Tot_Drug_Cst)2024 Drug cost: $1,972,676 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151591,893$968,194
20161491,569$746,902
20171491,576$799,878
20181631,741$1,106,814
20191861,976$1,515,867
20201762,079$1,668,351
20211771,946$1,726,534
20221811,878$1,995,001
20231851,911$2,080,229
20241911,744$1,972,676

DME Billing Trend

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

No connected DME records

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.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more91135$66
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more2931$43
G2211Visit 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's106145$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab431,232$391,272
Enbrel SureclickEtanercept461,348$344,386
XeljanzTofacitinib Citrate32960$179,638
Xeljanz XrTofacitinib Citrate29870$174,499
BenlystaBelimumab22616$102,383

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.

FAQ

What Medicare data is available for Alfredo C. Rivadeneira, MD?

Tedicare shows public-source Medicare data for Alfredo C. Rivadeneira, MD (NPI 1760543896), 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 Alfredo C. Rivadeneira, MD have ACO affiliation data?

Alfredo C. Rivadeneira, MD is shown with ACO affiliation data for CHESS Genesis, LLC (REACH, ACO ID D0237).

What billing organization is linked to Alfredo C. Rivadeneira, MD?

Alfredo C. Rivadeneira, MD is linked to UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL (billing NPI 1780669200) in the available physician profile data.

Does Alfredo C. Rivadeneira, 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.