PROVIDER PROFILE · NPI 1588683155

Carmelo OteroM.D.

Cardiac SurgerySan Antonio, TXI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

939

Unique beneficiaries

—

Total services

1,290

Distinct HCPCS

Medicare payment

$139K

Peer benchmark

Total Medicare services vs. 69 Cardiac Surgery providers in TX — top quintile (cohort median 230).

PRESCRIBING · PART D · 2024

Total Rx claims

233

Beneficiaries

—

Total drug cost

$8K

Distinct drugs

Brand share

87.1%

Top prescribed drugs

Clopidogrel Bisulfate106 claims

Acetaminophen With Codeine74 claims

Ciprofloxacin Hcl18 claims

Lidocaine/Prilocaine12 claims

Tramadol Hcl12 claims

QUALITY · MIPS · 2024

Final MIPS score

23.6

Quality

0.0

Cost

78.7

Improvement activities

0.0

Promoting interop.

0.0

Payment adjustment

-6.17%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$11K

Payment records

By payment type

Long term medical supply or device loan$10K

Food and Beverage$1K

REFERRAL NETWORK

Where Carmelo Otero'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). 49 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., L.L.P.	82	327
Ashwin Shetty Diagnostic Radiology · San Antonio, TX	57	313
Evan Mokwe Cardiology · San Antonio, TX	39	194
BRACKEN, CHRISTOPHER	35	120
MILLER, JOSEPH	35	259
Fuad Spath Hospitalist · San Antonio, TX	35	372
City Of San Antonio Texas Ambulance Service Provider · San Antonio, TX	33	106
Jorge Magallon Interventional Cardiology · San Antonio, TX	31	179
Chad Christopherson Interventional Cardiology · San Antonio, TX	30	126
John Stoll Diagnostic Radiology · San Antonio, TX	24	76
Daniel Pacheco Diagnostic Radiology · San Antonio, TX	23	121
Kenneth Sandoval Diagnostic Radiology · San Antonio, TX	23	60

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