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PROVIDER PROFILE · NPI 1407855224

Juan GuardiaMD

PRACTICESOUTH TEXAS KIDNEY SPECIALISTS, P.A.See all providers at this practice →
NephrologyMcallen, TXI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
471
Unique beneficiaries
—
Total services
1,045
Distinct HCPCS
11
Medicare payment
$113K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 883 Nephrology providers in TX — below median (cohort median 1,432).
REFERRAL NETWORK

Where Juan Guardia'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). 96 inbound referrers · 187 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
DOCTORS HOSPITAL AT RENAISSANCE, LTD3731,567
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
1951,095
Reuben Valentin
Nephrology · Brownsville, TX
175822
Mark Liong
Nephrology · Mcallen, TX
124544
ISD RENAL INC1182,136
NPI 12553355351141,685
Vangala Reddy
Diagnostic Radiology · Edinburg, TX
108634
Med Care Emergency Medical Services Inc
Ambulance Service Provider · Mcallen, TX
105305
Karina Vasquez
Nephrology · San Antonio, TX
86323
GRAHAM, FRANKLIN84425
Eduardo Guerra Valencia
Family Practice · Mcallen, TX
59164
Edward Tan
Diagnostic Radiology · Mcallen, TX
59276
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
DOCTORS HOSPITAL AT RENAISSANCE, LTD2651,236
Cesar Martinez
Nephrology · Mcallen, TX
153656
Reuben Valentin
Nephrology · Brownsville, TX
139645
Kotthegal Eshwar
Internal Medicine · Mcallen, TX
133595
Roberto Manllo-Karim
Nephrology · Mcallen, TX
123583
Salil Mangi
Nephrology · Mcallen, TX
121709
NPI 12553355351151,301
ISD RENAL INC1101,183
MCALLEN HOSPITALS L P101281
Mark Liong
Nephrology · Mcallen, TX
100580
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
100387
GUNADI, IRWAN98429
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.
QUALITY · MIPS · 2024
Final MIPS score
95.4
Quality
80.0
Cost
74.6
Improvement activities
40.0
Promoting interop.
96.0
Payment adjustment
0.86%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
1,080
Beneficiaries
—
Total drug cost
$319K
Distinct drugs
25
Brand share
25.4%
Top prescribed drugs
Sevelamer Carbonate142 claims
Bumetanide128 claims
Nifedipine116 claims
Furosemide84 claims
Losartan Potassium69 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.