PROVIDER PROFILE · NPI 1629061916

Antonio RiosM.D.

Internal MedicineGainesville, GAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

710

Unique beneficiaries

—

Total services

888

Distinct HCPCS

Medicare payment

$42K

Peer benchmark

Total Medicare services vs. 2,751 Internal Medicine providers in GA — top quintile (cohort median 670).

PRESCRIBING · PART D · 2024

Total Rx claims

6,380

Beneficiaries

—

Total drug cost

$759K

Distinct drugs

126

Brand share

25.9%

Top prescribed drugs

Atorvastatin Calcium315 claims

Amlodipine Besylate278 claims

Rosuvastatin Calcium229 claims

Metformin Hcl203 claims

Levothyroxine Sodium186 claims

QUALITY · MIPS · 2024

Final MIPS score

87.8

Quality

80.4

Cost

79.1

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.54%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$110

Payment records

By payment type

Food and Beverage$110

Top paying entities

Food and Beverage$110

REFERRAL NETWORK

Where Antonio Rios'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). 8 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
NORTHEAST GEORGIA MEDICAL CENTER, INC.	222	898
Edwin Tirado Internal Medicine · Gainesville, GA	20	75
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	14	36
HOOPER, TREVOR	14	21
Ajay Ravi Diagnostic Radiology · Gainesville, GA	13	33
Lee Martin Diagnostic Radiology · Gainesville, GA	13	26
WEAVER, DORIS	11	38
Richard Cory Diagnostic Radiology · Gainesville, GA	11	20

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