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PROVIDER PROFILE · NPI 1407931108

Pedro SepulvedaM.D.

PRACTICEALAMO LUNG INSTITUTE, PASee all providers at this practice →
Pulmonary DiseaseSan Antonio, TXI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
25.8
Quality
0.0
Cost
85.9
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
-5.91%
Individual
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,474
Unique beneficiaries
—
Total services
2,540
Distinct HCPCS
7
Medicare payment
$128K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 664 Pulmonary Disease providers in TX — top quintile (cohort median 1,111).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
75
By payment type
Food and Beverage$1K
PRESCRIBING · PART D · 2024
Total Rx claims
9,142
Beneficiaries
—
Total drug cost
$4.9M
Distinct drugs
37
Brand share
62.6%
Top prescribed drugs
Albuterol Sulfate2,186 claims
Fluticasone/Umeclidin/Vilanter1,403 claims
Montelukast Sodium854 claims
Famotidine525 claims
Prednisone483 claims
REFERRAL NETWORK

Where Pedro Sepulveda'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). 76 inbound referrers · 142 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION152367
METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., L.L.P.94247
City Of San Antonio Texas
Ambulance Service Provider · San Antonio, TX
84151
Sasikanth Nallagatla
Pulmonary Disease · San Antonio, TX
81320
Jeffrey Walker
Diagnostic Radiology · San Antonio, TX
70236
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
62133
Victor Martinez-Soria
Internal Medicine · San Antonio, TX
598,127
Christopher Muniz
Diagnostic Radiology · San Antonio, TX
53200
Robert Chandler
Diagnostic Radiology · San Antonio, TX
52250
Thomas Seale
Interventional Radiology · Deland, FL
52112
Corridor Medical Services Inc
Portable X-Ray Supplier · New Braunfels, TX
512,781
Sina Meisamy
Diagnostic Radiology · Madison, WI
49109
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
VHS SAN ANTONIO PARTNERS LLC137508
FORNOS, PETER105531
METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., L.L.P.83293
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Irving, TX
82231
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION72162
Wendy Whitford
Diagnostic Radiology · San Antonio, TX
69436
Carmen Emery
Diagnostic Radiology · Las Vegas, NV
64139
Sasikanth Nallagatla
Pulmonary Disease · San Antonio, TX
63195
Laboratory Corporation Of America
Clinical Laboratory · Houston, TX
62138
Jeffrey Walker
Diagnostic Radiology · San Antonio, TX
59134
Victor Martinez-Soria
Internal Medicine · San Antonio, TX
567,631
Venkat Ramana Reddy
Diagnostic Radiology · Middletown, CT
56158
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.