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PROVIDER PROFILE · NPI 1164456943

Raul PenaMD

OphthalmologyMcallen, TXI
CROSS-REFERENCE

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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 450869
Hospital
QUALITY · MIPS · 2024
Final MIPS score
94.0
Quality
100.0
Cost
72.3
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.80%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
3,766
Beneficiaries
—
Total drug cost
$169K
Distinct drugs
14
Brand share
15.3%
Top prescribed drugs
Latanoprost1,210 claims
Prednisolone Acetate882 claims
Diclofenac Sodium516 claims
Ofloxacin448 claims
Erythromycin Base250 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
638
Unique beneficiaries
—
Total services
855
Distinct HCPCS
10
Medicare payment
$157K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,238 Ophthalmology providers in TX — below median (cohort median 1,864).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$564
Payment records
14
By payment type
Food and Beverage$564
REFERRAL NETWORK

Where Raul Pena'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). 10 inbound referrers · 22 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
DOCTORS HOSPITAL AT RENAISSANCE, LTD2641,409
Sandra Flores
Optometry · Mcallen, TX
143436
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
57162
Enrique Griego
Family Practice · Mcallen, TX
34220
Sarah Forrest
Optometry · Tulsa, OK
3250
VALLEY BAPTIST AMBULATORY SURGERY CENTER, LLC2837
GRAHAM, FRANKLIN1536
Louis Lester
Anesthesiology · Harlingen, TX
1524
Vangala Reddy
Diagnostic Radiology · Edinburg, TX
1218
Luis Jr Delgado
Family Practice · Mcallen, TX
1248
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
DOCTORS HOSPITAL AT RENAISSANCE, LTD245931
Sandra Flores
Optometry · Mcallen, TX
95286
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
4575
VALLEY BAPTIST AMBULATORY SURGERY CENTER, LLC43152
CRITERION HEALTH CARE, LLC43182
Vincent Vann
Ophthalmology · Edina, MN
2990
PHYSICIAN LABORATORY SERVICES, LLC2855
Enrique Griego
Family Practice · Mcallen, TX
2666
Laboratory Corporation Of America
Clinical Laboratory · Houston, TX
2541
MCALLEN HOSPITALS L P2358
Gerard Desouza
Anesthesiology · Harlingen, TX
2156
Sarah Forrest
Optometry · Tulsa, OK
2040
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.