Dr. Renato Bacol Rivera , MD
Surgery • Breese, IL
9515 Holy Cross Ln Ste 175
Breese, IL 622303618
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
NPI assigned on July 7, 2005; this date does not establish years in practice.
-
Published CMS data list 1,333 Original Medicare Part B services in 2021.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021. Published rows only; this is not a quality measure.
-
Published Part B service records, 2021:
- 99212 — Established patient outpatient office visit: 354 service units.
- 99213 — Established patient outpatient office visit: 253 service units.
- 17000 — Destruction of precancer skin growth, 1 growth: 123 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2020 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2021). CPT notice
See all 18 records in the table · Guide: How to read Medicare Part B data
-
Published CMS data list 184 Medicare Part D prescriptions, including refills, in 2021.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2021. Published rows only; this is not a quality measure.
-
Published Part D records, 2021:
- Cephalexin — 44 prescription fills, including refills.
- Omeprazole — 41 prescription fills, including refills.
- Dicyclomine Hcl — 35 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2021. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 7 records in the table · Guide: How to read Medicare Part D prescriber data
-
Medicare Part B services went from 1,822 in 2017 to 1,333 in 2021.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2021.
Practice Location & Contact Primary Location
9515 Holy Cross Ln Ste 175
Breese, IL 622303618
What Public CMS Data Show
Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $133,934 in 2021
The total amount Medicare approved for these services in 2021. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021.
Paid by Medicare
About $102,326 in 2021
The part of the Medicare-allowed amount that Medicare itself paid in 2021, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021.
30-day fills
234 standardized 30-day fills in 2021
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$2,224 in 2021
The total cost of these prescriptions in 2021, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2021.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $14.76 in 2019
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2019.
NPI first issued
2005
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Breese and Illinois
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Rivera are from 2021.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Rivera are from 2021.
3 active clinicians are listed under Surgery with a practice address in Breese, IL (1,523 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Medicare Part B services
Medicare Part B services decreased 27% from 1,822 in 2017 to 1,333 in 2021.
- 2017: 1,822
- 2018: 1,460
- 2019: 1,232
- 2020: 1,065
- 2021: 1,333
-
Medicare-allowed amount
Medicare-allowed amount decreased 10% from $149,262 in 2017 to $133,934 in 2021.
- 2017: $149,262
- 2018: $147,525
- 2019: $115,517
- 2020: $95,167
- 2021: $133,934
-
Paid by Medicare
Paid by Medicare varied from year to year: $110,839 in 2017 and $102,326 in 2021.
- 2017: $110,839
- 2018: $111,501
- 2019: $88,650
- 2020: $68,693
- 2021: $102,326
-
Medicare Part D prescriptions
Medicare Part D prescriptions decreased 26% from 248 in 2017 to 184 in 2021.
- 2017: 248
- 2018: 304
- 2019: 222
- 2020: 133
- 2021: 184
-
30-day fills
30-day fills decreased 19% from 288 in 2017 to 234 in 2021.
- 2017: 288
- 2018: 334
- 2019: 283
- 2020: 162
- 2021: 234
-
Part D drug cost
Part D drug cost decreased 31% from $3,213 in 2017 to $2,224 in 2021.
- 2017: $3,213
- 2018: $2,311
- 2019: $2,464
- 2020: $1,226
- 2021: $2,224
-
Industry payments (Open Payments)
CMS data for industry payments (Open Payments) are available for 2019 only.
Sources: CMS Medicare Physician & Other Practitioners (2021), CMS Medicare Part D Prescribers (2021), CMS Open Payments (2019), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2019 (payments made January 1 – December 31, 2019): fewer than 11 records totaling $14.76.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
SPIRIVA RESPIMAT | General | $14.76 |
Source: CMS Open Payments, program year 2019, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2020 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2021; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
354 | 229 | $81.00 | $56.63 |
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
253 | 170 | $135.00 | $93.33 |
|
17000
Destruction of precancer skin growth, 1 growth
|
123 | 90 | $193.00 | $58.20 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
108 | 108 | $203.00 | $113.63 |
|
45384
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery
|
105 | 105 | $1604.00 | $209.82 |
|
17003
Destruction of precancer skin growth, 2-14 growths
|
70 | 53 | $23.00 | $6.41 |
|
11104
Punch biopsy, first skin growth
|
62 | 53 | $185.00 | $128.98 |
|
12032
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
|
48 | 36 | $734.00 | $310.77 |
|
43239
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
|
39 | 39 | $1174.00 | $99.53 |
|
17110
Destruction of skin growth, 1-14 growths
|
31 | 28 | $261.00 | $111.82 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
22 | 21 | $201.00 | $132.38 |
|
45385
Removal of polyps or growths of large bowel using an endoscope with mechanical snare
|
21 | 21 | $977.00 | $268.30 |
|
43450
Dilation of esophagus
|
20 | 20 | $538.00 | $41.67 |
|
11105
Punch biopsy, each additional skin growth
|
19 | 15 | $59.00 | $59.76 |
|
11602
Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
|
17 | 15 | $591.00 | $126.44 |
|
45380
Biopsy of large bowel using a flexible endoscope
|
16 | 16 | $923.00 | $77.21 |
|
11603
Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm
|
14 | 11 | $673.00 | $144.46 |
|
G0121
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
|
11 | 11 | $773.00 | $198.10 |
Source: CMS Part B by Provider and Service, 2021; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2021.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Cephalexin | Cephalexin | 44 | 410 | $376.13 | 31 |
| Omeprazole | Omeprazole | 41 | 1,514 | $320.54 | 18 |
| Dicyclomine Hcl | Dicyclomine Hcl | 35 | 1,530 | $565.67 | 13 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 21 | 433 | $141.77 | 16 |
| Mupirocin | Mupirocin | 18 | 228 | $146.22 | 15 |
| Clindamycin Hcl | Clindamycin Hcl | 14 | 117 | $76.58 | — |
| Pantoprazole Sodium | Pantoprazole Sodium | 11 | 930 | $596.76 | — |
Source: CMS Part D by Provider and Drug, 2021; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2021-12-30NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Additional State Medicaid & Healthcare Payer Identifiers
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Surgery
Doctor of Medicine (M.D.)
Surgery
Doctor of Medicine (M.D.)
Nurse Practitioner
Doctor of Chiropractic, Family Nurse Practitioner
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 9515 HOLY CROSS LN STE 175, BREESE, IL 622303618 (Tel: 6185268430)
NPI status registered as active in NPPES database
Registered at 9401 HOLY CROSS LN, SUITE 111, BREESE, IL 622303510 (Tel: 6185267133)
Registered at 9401 HOLY CROSS LN, SUITE 111, BREESE, IL 622303510 (Tel: 6185267133)
Recorded as RENATO RIVERA, M.D.
Surgery (license number reported to NPPES: IL 036045712)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Surgery Specialists in Breese
Mailing Address
9401 Holy Cross Ln, Suite 111
Breese, IL 622303510
Phone: 6185267133