What is Enrique Garcia-Valenzuela's specialty?

Enrique Garcia-Valenzuela (NPI 1356316855) is a Medicare-billing provider whose primary specialty is Ophthalmology in Des Plaines, IL.

Where does Enrique Garcia-Valenzuela practice?

Enrique Garcia-Valenzuela practices in Des Plaines, IL, based on the location reported in the CMS Medicare provider datasets for NPI 1356316855.

How much does Medicare pay Enrique Garcia-Valenzuela?

Enrique Garcia-Valenzuela (NPI 1356316855) received approximately $2.1M in total Medicare Part B payments, serving 1,305 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1356316855

Enrique Garcia-ValenzuelaMD

PRACTICEMIDWEST RETINA CONSULTANTS, S.C.See all providers at this practice →

OphthalmologyDes Plaines, ILI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

5,976

Unique beneficiaries

—

Total services

24,839

Distinct HCPCS

Medicare payment

$2.0M

Peer benchmark

Total Medicare services vs. 667 Ophthalmology providers in IL — top quintile (cohort median 2,192).

PRESCRIBING · PART D · 2024

Total Rx claims

641

Beneficiaries

—

Total drug cost

$12K

Distinct drugs

Brand share

3.9%

Top prescribed drugs

Prednisolone Acetate221 claims

Latanoprost197 claims

Brimonidine Tartrate101 claims

Timolol Maleate49 claims

Ketorolac Tromethamine34 claims

QUALITY · MIPS · 2024

Final MIPS score

99.1

Quality

100.0

Cost

0.0

Improvement activities

40.0

Promoting interop.

97.0

Payment adjustment

1.01%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$441

Payment records

By payment type

Food and Beverage$441

Top paying entities

Food and Beverage$441

REFERRAL NETWORK

Where Enrique Garcia-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). 21 inbound referrers · 45 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
ALEXIAN BROTHERS MEDICAL CENTER	107	248
ST. ALEXIUS MEDICAL CENTER	86	180
Mark Rosanova Ophthalmology · Melbourne, FL	48	126
NORTHWEST SURGICARE LTD	48	98
Smajo Osmanovic Ophthalmology · Arlington Heights, IL	46	161
ENDEAVOR HEALTH CLINICAL OPERATIONS	38	105
ADVOCATE HEALTH AND HOSPITALS CORPORATION	37	102
CENTRAL DUPAGE HOSPITAL ASSOCIATION	29	71
Gregory Nelson Ophthalmology · Arlington Heights, IL	23	52
OLIVIER, MILDRED	21	51
Hoffman Estates Surgery Center, Llc Ambulatory Surgical Center · Hoffman Estates, IL	20	33
Mark Piotrowski Ophthalmology · Arlington Heights, IL	15	36

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
NORTHWEST COMMUNITY HOSPITAL	128	276
Quest Diagnostics Llc Il Clinical Laboratory · Wood Dale, IL	120	266
ALEXIAN BROTHERS MEDICAL CENTER	97	232
ST. ALEXIUS MEDICAL CENTER	83	225
Laboratory Corporation Of America Holdings Clinical Laboratory · Dublin, OH	68	129
A2cl Services, Llc Clinical Laboratory · West Allis, WI	57	109
Smajo Osmanovic Ophthalmology · Arlington Heights, IL	48	140
CENTRAL DUPAGE HOSPITAL ASSOCIATION	47	117
ENDEAVOR HEALTH CLINICAL OPERATIONS	45	119
ADVOCATE HEALTH AND HOSPITALS CORPORATION	40	86
NORTHWEST SURGICARE LTD	39	64
ADVOCATE SHERMAN HOSPITAL	38	64

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