PROVIDER PROFILE · NPI 1144372244

Raymundo RacelaM.D.

PRACTICEGREATER MODESTO MEDICAL SURGICAL ASSOCIATES INC.See all providers at this practice →

General SurgeryModesto, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

267

Unique beneficiaries

—

Total services

339

Distinct HCPCS

Medicare payment

$35K

Peer benchmark

Total Medicare services vs. 1,763 General Surgery providers in CA — top quintile (cohort median 269).

PRESCRIBING · PART D · 2024

Total Rx claims

Beneficiaries

—

Total drug cost

$286

Distinct drugs

Brand share

74.1%

Top prescribed drugs

Oxycodone Hcl/Acetaminophen44 claims

Tramadol Hcl22 claims

Hydrocodone/Acetaminophen19 claims

QUALITY · MIPS · 2024

Final MIPS score

85.6

Quality

64.4

Cost

72.9

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.45%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$135

Payment records

By payment type

Food and Beverage$135

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

Hospital

Hospital

Hospital

Hospital

Hospital

REFERRAL NETWORK

Where Raymundo Racela'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). 1 inbound referrers · 2 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
APPALACHIAN REGIONAL HEALTHCARE, INC.	13	57

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
ST MARYS MEDICAL CENTER	25	35
APPALACHIAN REGIONAL HEALTHCARE, INC.	14	67

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