PROVIDER PROFILE · NPI 1194920074

Nelson Agudelo-HiguitaMD

Infectious DiseaseOklahoma City, OKI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

225

Unique beneficiaries

—

Total services

405

Distinct HCPCS

Medicare payment

$32K

Peer benchmark

Total Medicare services vs. 33 Infectious Disease providers in OK — below median (cohort median 826).

PRESCRIBING · PART D · 2024

Total Rx claims

952

Beneficiaries

—

Total drug cost

$1.5M

Distinct drugs

Brand share

64.7%

Top prescribed drugs

Bictegrav/Emtricit/Tenofov Ala159 claims

Atorvastatin Calcium102 claims

Abacavir/Dolutegravir/Lamivudi78 claims

Elviteg/Cob/Emtri/Tenof Alafen56 claims

Efavirenz/Emtricit/Tenofovr Df50 claims

QUALITY · MIPS · 2024

Final MIPS score

77.3

Quality

53.7

Cost

70.5

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.10%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 370093

Hospital

REFERRAL NETWORK

Where Nelson Agudelo-Higuita'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). 3 inbound referrers · 11 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Dan Nguyen Diagnostic Radiology · Oklahoma City, OK	25	41
Robin Olander Diagnostic Radiology · Oklahoma City, OK	17	30
Emergency Medical Services Authority Ambulance Service Provider · Oklahoma City, OK	17	27

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
HCA HEALTH SERVICES OF OKLAHOMA INC	75	214
GARRISON, VIRGINIA	31	76
EDWARDS, SUSAN	20	36
PENAROZA, SHYLA	14	32
Jason Wagner Diagnostic Radiology · Oklahoma City, OK	14	16
Dan Nguyen Diagnostic Radiology · Oklahoma City, OK	13	28
Robert Fails Diagnostic Radiology · Oklahoma City, OK	13	18
Ana Casanegra Cardiology · Rochester, MN	13	21
Robin Olander Diagnostic Radiology · Oklahoma City, OK	12	23
Suman Wasan Cardiology · Winston Salem, NC	11	14
ELKAISSI, MAHMOUD	11	16

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