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PROVIDER PROFILE · NPI 1174591424

Richard ValenzuelaMD

PRACTICEBAPTIST PRIMARY CARE INCSee all providers at this practice →
Family PracticeJacksonville, FLI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
95.4
Quality
84.2
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.86%
APM Entity
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 107482
Home health agency
CCN 100088
Hospital
CCN 100117
Hospital
CCN 100140
Hospital
CCN 100179
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
6,393
Beneficiaries
—
Total drug cost
$623K
Distinct drugs
116
Brand share
16.1%
Top prescribed drugs
Atorvastatin Calcium360 claims
Rosuvastatin Calcium330 claims
Amlodipine Besylate329 claims
Lisinopril251 claims
Losartan Potassium224 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
646
Unique beneficiaries
—
Total services
1,104
Distinct HCPCS
10
Medicare payment
$52K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 4,914 Family Practice providers in FL — above median (cohort median 682).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$2K
Payment records
101
By payment type
Food and Beverage$2K
REFERRAL NETWORK

Where Richard Valenzuela'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 · 14 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
MEMORIAL HEALTHCARE GROUP INC2872
Laboratory Corporation Of America
Clinical Laboratory · Tampa, FL
1526
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC186601
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Tampa, FL
51196
MEMORIAL HEALTHCARE GROUP INC3784
Fara Nadal
Family Practice · Jacksonville, FL
3272
ST. VINCENT'S MEDICAL CENTER, INC.3091
Monument-9a Imaging & Diagnostic Center L L C
Independent Diagnostic Testing Facility (IDTF) · Jacksonville, FL
2545
Laboratory Corporation Of America
Clinical Laboratory · Tampa, FL
1840
Richard Valenzuela
Orthopaedic Surgery · Lake City, FL
1730
Dana Preston
Nurse Practitioner · Jacksonville, FL
1528
Yousif Abubakr
Hematology-Oncology · Jacksonville, FL
1543
City Of Jacksonville
Ambulance Service Provider · Jacksonville, FL
1349
Physicians Imaging -- Lake City Llc
Independent Diagnostic Testing Facility (IDTF) · Lake City, FL
1217
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.