What is John Macias's specialty?

John Macias (NPI 1053308098) is a Medicare-billing provider whose primary specialty is Otolaryngology in Phoenix, AZ.

Where does John Macias practice?

John Macias practices in Phoenix, AZ, based on the location reported in the CMS Medicare provider datasets for NPI 1053308098.

How much does Medicare pay John Macias?

John Macias (NPI 1053308098) received approximately $158K in total Medicare Part B payments, serving 641 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1053308098

John MaciasMD

OtolaryngologyPhoenix, AZI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,014

Unique beneficiaries

—

Total services

1,813

Distinct HCPCS

Medicare payment

$115K

Peer benchmark

Total Medicare services vs. 150 Otolaryngology providers in AZ — above median (cohort median 1,106).

PRESCRIBING · PART D · 2024

Total Rx claims

753

Beneficiaries

—

Total drug cost

$21K

Distinct drugs

Brand share

53.1%

Top prescribed drugs

Triamterene/Hydrochlorothiazid190 claims

Ciprofloxacin Hcl94 claims

Amoxicillin/Potassium Clav73 claims

Ciprofloxacin Hcl/Dexameth64 claims

Hydrocodone/Acetaminophen54 claims

QUALITY · MIPS · 2024

Final MIPS score

83.6

Quality

71.5

Cost

73.8

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.36%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 030002

Hospital

CCN 030012

Hospital

REFERRAL NETWORK

Where John Macias's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 2 inbound referrers · 8 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
CLARKE, JENNIFER	15	20
MAYO CLINIC ARIZONA	12	17

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
Kim Hansen Audiologist · Phoenix, AZ	347	544
Sonora Quest Laboratories Llc Clinical Laboratory · Phoenix, AZ	134	276
BANNER - UNIVERSITY MEDICAL CENTER PHOENIX	93	218
Laboratory Corporation Of America Clinical Laboratory · Phoenix, AZ	54	89
INSIGHT HEALTH CORP	30	33
CLARKE, JENNIFER	26	35
St. Joseph's Outpatient Surgery Center, Llc Ambulatory Surgical Center · Phoenix, AZ	14	16
DIGNITY HEALTH	13	20

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events