What is Rafael Medina's specialty?

Rafael Medina (NPI 1265416598) is a Medicare-billing provider whose primary specialty is Ophthalmology in Cooperstown, NY.

Where does Rafael Medina practice?

Rafael Medina practices in Cooperstown, NY, based on the location reported in the CMS Medicare provider datasets for NPI 1265416598.

How much does Medicare pay Rafael Medina?

Rafael Medina (NPI 1265416598) received approximately $59K in total Medicare Part B payments, serving 400 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1265416598

Rafael MedinaM.D.

PRACTICEBASSET MEDICAL CENTERSee all providers at this practice →

OphthalmologyCooperstown, NYI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

847

Unique beneficiaries

—

Total services

951

Distinct HCPCS

Medicare payment

$50K

Peer benchmark

Total Medicare services vs. 1,438 Ophthalmology providers in NY — below median (cohort median 1,869).

PRESCRIBING · PART D · 2024

Total Rx claims

703

Beneficiaries

—

Total drug cost

$39K

Distinct drugs

Brand share

30.7%

Top prescribed drugs

Prednisolone Acetate118 claims

Latanoprost114 claims

Moxifloxacin Hcl110 claims

Ketorolac Tromethamine74 claims

Timolol Maleate66 claims

QUALITY · MIPS · 2024

Final MIPS score

92.6

Quality

78.0

Cost

0.0

Improvement activities

40.0

Promoting interop.

98.0

Payment adjustment

0.74%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$35

Payment records

By payment type

Food and Beverage$35

Top paying entities

Food and Beverage$35

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 330085

Hospital

CCN 330136

Hospital

CCN 331311

Hospital

REFERRAL NETWORK

Where Rafael Medina'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). 1 inbound referrers · 3 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
SISTERS OF CHARITY HOSPITAL	11	94

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
Quest Diagnostics Of Pennsylvania, Inc. Clinical Laboratory · Pittsburgh, PA	21	58
SISTERS OF CHARITY HOSPITAL OF BUFFALO NEW YORK	12	29
KALEIDA HEALTH	11	22

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