Dr. Jose Nieves-RiveraMD

39Critical

Top 90% of Nephrology providers

Revenue Score Breakdown

E&M Coding (25%)56
Program Utilization (25%)0
Revenue Efficiency (20%)48
Service Diversity (15%)55
Patient Volume (15%)48
Revenue Score: 39

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Just discovered my practice's Revenue Score on NPIxray — scored 39/100 (Critical). Interesting breakdown of E&M coding patterns, program adoption, and revenue efficiency.

https://npixray.com/provider/1033138607

Medicare Patients

68

Total Services

525

Medicare Payment

$41K

E&M Visits

175

Top Billing Codes

CodeServicesPaymentAvg/Service
99232200$12K$61.77
99214116$11K$90.72
9922349$6K$125.82
9921359$4K$65.39
9923335$3K$91.54
9093549$3K$56.02
9920417$2K$113.88

E&M Code Distribution

Evaluation & Management visit level distribution based on CMS Medicare billing data. Higher-level codes (99214, 99215) indicate more complex patient encounters.

99211
0.0%
99212
0.0%
99213
33.7%
99214
66.3%
99215
0.0%

Care Management Programs

Medicare care management program participation based on CMS billing data. Active programs represent significant revenue and better patient outcomes.

CCM
Not Billing

Chronic Care Management (99490)

Services

0

Payment

$0

RPM
Not Billing

Remote Patient Monitoring (99454/99457)

Services

0

Payment

$0

BHI
Not Billing

Behavioral Health Integration (99484)

Services

0

Payment

$0

AWV
Not Billing

Annual Wellness Visit (G0438/G0439)

Services

0

Payment

$0

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Data sourced from CMS Medicare Physician & Other Practitioners public dataset. All information shown is publicly available government data. This page does not contain any protected health information (PHI).