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PROVIDER PROFILE · NPI 1174532618

Rafael LupercioM.D.

PRACTICEDIALYSIS CLINIC INC.See all providers at this practice →
Pulmonary DiseaseRedding, CAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
19.1
Quality
0.0
Cost
63.8
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
-6.70%
Individual
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (6)

CCN 050042
Hospital
CCN 050280
Hospital
CCN 050764
Hospital
CCN 051305
Hospital
CCN 051319
Hospital
CCN 052047
Long-term care hospital
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
37
By payment type
Food and Beverage$1K
Education$101
PRESCRIBING · PART D · 2024
Total Rx claims
2,300
Beneficiaries
—
Total drug cost
$1.7M
Distinct drugs
29
Brand share
65.1%
Top prescribed drugs
Prednisone536 claims
Albuterol Sulfate378 claims
Fluticasone/Umeclidin/Vilanter289 claims
Budesonide/Glycopyr/Formoterol151 claims
Fluticasone/Vilanterol76 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
7,778
Unique beneficiaries
—
Total services
9,841
Distinct HCPCS
28
Medicare payment
$631K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 901 Pulmonary Disease providers in CA — top quintile (cohort median 927).
REFERRAL NETWORK

Where Rafael Lupercio'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). 120 inbound referrers · 242 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
PRIME HEALTHCARE SERVICES - SHASTA LLC3401,410
DIGNITY HEALTH3281,352
Lynn Holmquist
Physician Assistant · Red Bluff, CA
244799
Sander Saidman
Diagnostic Radiology · Redding, CA
2051,127
Irwin Maier
Diagnostic Radiology · Red Bluff, CA
1971,052
HOHMEISTER, JON1951,025
Adam Attoun
Diagnostic Radiology · Redding, CA
176876
American Medical Response West
Ambulance Service Provider · Redding, CA
165706
Bruce Bartlow
Nephrology · Redding, CA
1462,783
Sriram Sambasivan
Nephrology · Redding, CA
1271,521
NPI 1295755445115239
Stephen Hofkin
Interventional Radiology · Redding, CA
75355
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Laboratory Corporation Of America
Clinical Laboratory · San Diego, CA
326992
DIGNITY HEALTH3051,171
Lynn Holmquist
Physician Assistant · Red Bluff, CA
2951,093
PRIME HEALTHCARE SERVICES - SHASTA LLC290830
Unilab Corporation
Clinical Laboratory · Sacramento, CA
213671
Kanchan Koirala
Internal Medicine · Murray, KY
2005,756
Mohamed Khan
Interventional Cardiology · Redding, CA
185542
Sander Saidman
Diagnostic Radiology · Redding, CA
175872
HOHMEISTER, JON173694
Irwin Maier
Diagnostic Radiology · Red Bluff, CA
163747
Jonathan Jewkes
Diagnostic Radiology · Redding, CA
159631
American Medical Response West
Ambulance Service Provider · Redding, CA
156628
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.