PROVIDER PROFILE · NPI 1609961697

Guillermo Ponce De LeonM.D.

General SurgeryHouston, TXI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

338

Unique beneficiaries

—

Total services

419

Distinct HCPCS

Medicare payment

$54K

Peer benchmark

Total Medicare services vs. 1,477 General Surgery providers in TX — top quintile (cohort median 212).

PRESCRIBING · PART D · 2024

Total Rx claims

196

Beneficiaries

—

Total drug cost

$1K

Distinct drugs

Brand share

80.6%

Top prescribed drugs

Acetaminophen With Codeine158 claims

Tramadol Hcl26 claims

Clindamycin Hcl12 claims

QUALITY · MIPS · 2024

Final MIPS score

90.1

Quality

85.0

Cost

83.7

Improvement activities

40.0

Promoting interop.

98.0

Payment adjustment

0.64%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$2K

Payment records

By payment type

Food and Beverage$2K

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$400

REFERRAL NETWORK

Where Guillermo Ponce De Leon'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). 11 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
METHODIST HEALTH CENTERS	101	311
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Houston, TX	61	236
MEMORIAL HERMANN SUGAR LAND SURGICAL HOSPITAL, LLP	58	156
HISEY, MADISON	57	136
MEMORIAL HERMANN HEALTH SYSTEM	27	74
Larissa Miller Physician Assistant · Sugar Land, TX	26	63
Robert Malone Diagnostic Radiology · Houston, TX	15	30
Bhagwat Patel Internal Medicine · Sugar Land, TX	14	44
Ognjen Kosarac Pathology · Houston, TX	12	29
William Velasquez Medical Oncology · Houston, TX	11	47
Clinical Pathology Laboratories, Inc. Clinical Laboratory · Austin, TX	11	32

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