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PROVIDER PROFILE · NPI 1467435982

Carlos HerreraM.D.

Obstetrics & GynecologyEdinburg, TXI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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REFERRAL NETWORK

Where Carlos Herrera'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). 9 inbound referrers · 21 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
DOCTORS HOSPITAL AT RENAISSANCE, LTD2162,377
STRANSKY, GREGOR46235
Vangala Reddy
Diagnostic Radiology · Edinburg, TX
34150
Ravindra Veeramachaneni
Pathology · Weslaco, TX
21107
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
1768
DAVENPORT, DEWITT1592
GRAHAM, FRANKLIN1452
Juan Posada
Interventional Cardiology · Mcallen, TX
12135
ZION LABORATORY SERVICES, INC.1177
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
DOCTORS HOSPITAL AT RENAISSANCE, LTD1201,302
Vangala Reddy
Diagnostic Radiology · Edinburg, TX
29122
Samuel Serna
Diagnostic Radiology · Edinburg, TX
2376
STRANSKY, GREGOR2254
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
22145
Oscar Garcia
Radiation Oncology · Edinburg, TX
21333
MCALLEN HOSPITALS L P21101
Rajiv Verma
Diagnostic Radiology · Houston, TX
1976
Ravindra Veeramachaneni
Pathology · Weslaco, TX
1956
Sanjay Agarwala
Diagnostic Radiology · Lexington, KY
1767
DAVENPORT, DEWITT1645
Irene Perez Young
Diagnostic Radiology · Edinburg, TX
1668
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
109
Unique beneficiaries
—
Total services
136
Distinct HCPCS
2
Medicare payment
$6K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,532 Obstetrics & Gynecology providers in TX — above median (cohort median 92).
PRESCRIBING · PART D · 2024
Total Rx claims
439
Beneficiaries
—
Total drug cost
$12K
Distinct drugs
13
Brand share
30.8%
Top prescribed drugs
Megestrol Acetate72 claims
Estradiol51 claims
Acetaminophen With Codeine44 claims
Metronidazole43 claims
Amoxicillin/Potassium Clav39 claims
QUALITY · MIPS · 2024
Final MIPS score
90.2
Quality
80.6
Cost
69.4
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.64%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$777
Payment records
16
By payment type
Food and Beverage$640
Education$137