What is Jose Avila's specialty?

Jose Avila (NPI 1558567875) is a Medicare-billing provider whose primary specialty is Nephrology in Allentown, PA.

Where does Jose Avila practice?

Jose Avila practices in Allentown, PA, based on the location reported in the CMS Medicare provider datasets for NPI 1558567875.

How much does Medicare pay Jose Avila?

Jose Avila (NPI 1558567875) received approximately $148K in total Medicare Part B payments, serving 625 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1558567875

Jose Avila

NephrologyAllentown, PAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

897

Unique beneficiaries

—

Total services

1,577

Distinct HCPCS

Medicare payment

$142K

Peer benchmark

Total Medicare services vs. 452 Nephrology providers in PA — top quintile (cohort median 1,017).

PRESCRIBING · PART D · 2024

Total Rx claims

2,594

Beneficiaries

—

Total drug cost

$139K

Distinct drugs

Brand share

8.8%

Top prescribed drugs

Amlodipine Besylate383 claims

Torsemide364 claims

Lisinopril179 claims

Spironolactone168 claims

Losartan Potassium137 claims

QUALITY · MIPS · 2024

Final MIPS score

97.1

Quality

82.3

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.93%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Jose Avila'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). 114 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
ST LUKES HOSPITAL-ANDERSON CAMPUS	186	809
ST LUKES HOSPITAL	174	563
Swomya Bal Nephrology · Allentown, PA	147	472
Joseph Jacobs Nephrology · Bethlehem, PA	116	414
PURSELL, ROBERT	96	263
RENAL TREATMENT CENTERS NORTHEAST INC	76	876
Joseph Bucich Diagnostic Radiology · Phillipsburg, NJ	70	201
Sobhan Kodali Cardiology · Bethlehem, PA	70	157
COHEN, KENNETH	66	165
NPI 1255335535	58	398
Dean Tyrell Diagnostic Radiology · Bethlehem, PA	51	97
Jake Marais Cardiology · Bethlehem, PA	49	147

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

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

Healthparse Signals

Monitor this provider for changes — dated NPI change events