What is Marcus Santana's specialty?

Marcus Santana (NPI 1194764217) is a Medicare-billing provider whose primary specialty is Pulmonary Disease in North Miami Beach, FL.

Where does Marcus Santana practice?

Marcus Santana practices in North Miami Beach, FL, based on the location reported in the CMS Medicare provider datasets for NPI 1194764217.

How much does Medicare pay Marcus Santana?

Marcus Santana (NPI 1194764217) received approximately $61K in total Medicare Part B payments, serving 421 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1194764217

Marcus SantanaMD

Pulmonary DiseaseNorth Miami Beach, FLI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

808

Unique beneficiaries

—

Total services

1,000

Distinct HCPCS

Medicare payment

$54K

Peer benchmark

Total Medicare services vs. 732 Pulmonary Disease providers in FL — below median (cohort median 1,242).

PRESCRIBING · PART D · 2024

Total Rx claims

653

Beneficiaries

—

Total drug cost

$240K

Distinct drugs

Brand share

68.3%

Top prescribed drugs

Albuterol Sulfate117 claims

Prednisone80 claims

Fluticasone/Umeclidin/Vilanter71 claims

Fluticasone/Vilanterol48 claims

Azithromycin46 claims

QUALITY · MIPS · 2024

Final MIPS score

97.9

Quality

83.3

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.97%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

Hospital

Hospital

Hospital

Hospital

Hospital

REFERRAL NETWORK

Where Marcus Santana'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). 41 inbound referrers · 95 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
SSM HEALTH CARE OF WISCONSIN, INC.	301	824
Sheng-Jing Dong Cardiology · Madison, WI	59	91
Jeffrey Klein Diagnostic Radiology · Madison, WI	56	106
Benjamin Kleiber Cardiology · Madison, WI	50	79
Samuel Gibson Diagnostic Radiology · Madison, WI	42	72
Douglas Kitchin Diagnostic Radiology · Madison, WI	40	80
Cary Shlimovitz Diagnostic Radiology · Tucson, AZ	40	93
Baher Habeeb Critical Care (Intensivists) · Madison, WI	40	86
BLOCK, JEFFREY	38	58
Shawyon Shadman Diagnostic Radiology · Madison, WI	37	75
Peter Lee Cardiology · Madison, WI	35	49
Gregg Bogost Diagnostic Radiology · Madison, WI	34	78

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
SSM HEALTH CARE OF WISCONSIN, INC.	162	412
FORT HEALTHCARE, INC.	85	733
ANDREWS, DOUGLAS	72	170
BLOCK, JEFFREY	68	141
Cary Shlimovitz Diagnostic Radiology · Tucson, AZ	67	160
John Wilson Pulmonary Disease · Madison, WI	56	143
James Andersen Diagnostic Radiology · Madison, WI	52	124
James Sehloff Sleep Medicine · Baraboo, WI	50	97
Baher Habeeb Critical Care (Intensivists) · Madison, WI	48	96
CASSIE, CONRAD	47	99
HOME HEALTH UNITED INC	46	64
Douglas Kitchin Diagnostic Radiology · Madison, WI	45	92

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