PROVIDER PROFILE · NPI 1386723567

Gustavo PlasenciaM.D.

PRACTICEHENRY LUJAN MD LLCSee all providers at this practice →

Colorectal Surgery (Proctology)Miami, FLI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

174

Unique beneficiaries

—

Total services

188

Distinct HCPCS

Medicare payment

$23K

Peer benchmark

Total Medicare services vs. 133 Colorectal Surgery (Proctology) providers in FL — below median (cohort median 326).

PRESCRIBING · PART D · 2024

Total Rx claims

214

Beneficiaries

—

Total drug cost

$12K

Distinct drugs

Brand share

73.8%

Top prescribed drugs

Sodium Chloride/Nahco3/Kcl/Peg83 claims

Sodium, Potassium,mag Sulfates52 claims

Metronidazole39 claims

Hydrocortisone17 claims

Peg3350/Sod Sulf,bicarb,cl/Kcl12 claims

QUALITY · MIPS · 2024

Final MIPS score

91.0

Quality

73.0

Cost

78.7

Improvement activities

40.0

Promoting interop.

82.0

Payment adjustment

0.67%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$10K

Payment records

By payment type

Education$8K

Food and Beverage$1K

Long term medical supply or device loan$96

REFERRAL NETWORK

Where Gustavo Plasencia'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). 6 inbound referrers · 5 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA	111	241
Alejandro Hernandez Cano General Surgery · Hialeah, FL	15	29
NPI 1487678785	15	34
Laboratory Corporation Of America Clinical Laboratory · Tampa, FL	14	27
Francisco Cruz Internal Medicine · Miami, FL	14	19
NPI 1275564601	12	25

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
NPI 1487678785	47	155
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA	36	62
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Miramar, FL	32	87
Annmarie Morejon Certified Registered Nurse Anesthetist (CRNA) · Miami, FL	26	60
BAPTIST HOSPITAL OF MIAMI INC	11	29

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