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PROVIDER PROFILE · NPI 1649417627

Mario Berrocal O'higginsM.D.

Infectious DiseaseMcallen, TXI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
Final MIPS score
99.9
Quality
90.7
Cost
78.8
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
1.05%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
519
Beneficiaries
—
Total drug cost
$158K
Distinct drugs
17
Brand share
50.7%
Top prescribed drugs
Nitrofurantoin Macrocrystal85 claims
Ertapenem Sodium51 claims
Cephalexin45 claims
Levofloxacin42 claims
Fosfomycin Tromethamine39 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
597
Unique beneficiaries
—
Total services
1,417
Distinct HCPCS
6
Medicare payment
$112K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 425 Infectious Disease providers in TX — above median (cohort median 589).
REFERRAL NETWORK

Where Mario Berrocal O'higgins'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). 107 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
DOCTORS HOSPITAL AT RENAISSANCE, LTD4061,222
Vangala Reddy
Diagnostic Radiology · Edinburg, TX
2401,112
Eliana Ochoa
Infectious Disease · Mcallen, TX
234936
GRAHAM, FRANKLIN166529
Med Care Emergency Medical Services Inc
Ambulance Service Provider · Mcallen, TX
162351
Manuel Seas
Internal Medicine · Edinburg, TX
132372
Ruben Mohme
Internal Medicine · Edinburg, TX
127381
HIDALGO COUNTY EMERGENCY SERVICE FOUNDATION115348
Jose Lopez
Family Practice · Edinburg, TX
110336
Eduardo Candanosa
Family Practice · Mcallen, TX
99250
Eduardo Guerra Valencia
Family Practice · Mcallen, TX
96386
Christopher Zaleski
Diagnostic Radiology · Reno, NV
93269
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.