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Compare the published Medicare service mix of Ruben Jose Rivera Rivera, M.D. with clinicians in the same registry specialty: Sports Medicine (CMS).

FL · Exact areaEdit location

2024 published service data · 23 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Luis Alfredo Guerrero, M.D.

Physical Medicine And Rehabilitation (CMS) · Leesburg, FL

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
  • Needle measurement of electrical activity in arm or leg muscles, complete study (95886)
56%Service-mix similarityView profile →

David A Doward, M.D.

Physical Medicine And Rehabilitation (CMS) · Jacksonville, FL

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
  • Needle measurement of electrical activity in arm or leg muscles, complete study (95886)
53%Service-mix similarityView profile →

Yekaterina Temperato, DO

Physical Medicine And Rehabilitation (CMS) · Land O Lakes, FL

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (64493)
49%Service-mix similarityView profile →

Steven Michael Papuchis, DO

Physical Medicine And Rehabilitation (CMS) · Sarasota, FL

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • 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 (G2211)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
48%Service-mix similarityView profile →

Melissa Marie Guanche, MD

Physical Medicine And Rehabilitation (CMS) · Miami, FL

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (64493)
45%Service-mix similarityView profile →

Evan R Peck, M.D.

Physical Medicine And Rehabilitation · Sports Medicine (CMS) · West Palm Beach, FL

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • 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 (G2211)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
43%Service-mix similarityView profile →

James Austin Underwood, MD

Physical Medicine And Rehabilitation (CMS) · Jacksonville, FL

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
  • Needle measurement of electrical activity in arm or leg muscles, complete study (95886)
39%Service-mix similarityView profile →

Tunc Can Kiymaz, MD

Sports Medicine (CMS) · Winter Park, FL

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
  • Needle measurement of electrical activity in arm or leg muscles, complete study (95886)
35%Service-mix similarityView profile →

Elizabeth Shaker, MD

Physical Medicine And Rehabilitation (CMS) · Lakeland, FL

Shared published services
2 shared services · view billing descriptions
  • Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes (99309)
  • Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more (99308)
33%Service-mix similarityView profile →

Joshua Rothenberg, D.O.

Orthopedic Surgery (CMS) · Boca Raton, FL

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • 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 (G2211)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
32%Service-mix similarityView profile →

James Presley, MD

Sports Medicine (CMS) · Navarre, FL

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
29%Service-mix similarityView profile →

Nevin Vijayaraghavan, DO

Sports Medicine (CMS) · Indialantic, FL

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
28%Service-mix similarityView profile →
How this comparison works

We use the same calendar year of CMS Medicare Physician & Other Practitioners data for both providers. Published non-drug service counts are combined by HCPCS code across places of service. We apply log(1 + count), normalize the vectors, and compare them using cosine similarity.

Candidates share the reference provider’s current NPPES primary taxonomy and match the location you enter. We examine up to 500 candidates in NPI order, then show up to 12 with the highest positive similarity within that set. The score is not a percentile, medical recommendation, or prediction. Suppressed services are not estimated. Medicare fee-for-service data does not describe a provider’s entire practice.

Source: CMS Medicare Physician & Other Practitioners - by Provider and Service : 2024-12-01 · Published May 21, 2026.