What is Rafael Villicana's specialty?

Rafael Villicana (NPI 1669496832) is a Medicare-billing provider whose primary specialty is Nephrology in Loma Linda, CA.

Where does Rafael Villicana practice?

Rafael Villicana practices in Loma Linda, CA, based on the location reported in the CMS Medicare provider datasets for NPI 1669496832.

How much does Medicare pay Rafael Villicana?

Rafael Villicana (NPI 1669496832) received approximately $62K in total Medicare Part B payments, serving 166 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1669496832

Rafael VillicanaMD

NephrologyLoma Linda, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

314

Unique beneficiaries

—

Total services

716

Distinct HCPCS

Medicare payment

$62K

Peer benchmark

Total Medicare services vs. 985 Nephrology providers in CA — below median (cohort median 1,482).

PRESCRIBING · PART D · 2024

Total Rx claims

1,779

Beneficiaries

—

Total drug cost

$1.2M

Distinct drugs

Brand share

32.7%

Top prescribed drugs

Prednisone306 claims

Famotidine121 claims

Pantoprazole Sodium98 claims

Sodium Zirconium Cyclosilicate95 claims

Dapagliflozin Propanediol82 claims

QUALITY · MIPS · 2024

Final MIPS score

88.9

Quality

72.1

Cost

77.4

Improvement activities

40.0

Promoting interop.

80.0

Payment adjustment

0.58%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$158K

Payment records

177

By payment type

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$95K

Consulting Fee$40K

Travel and Lodging$19K

Food and Beverage$4K

Education$79

Top paying entities

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$95K

Consulting Fee$40K

Travel and Lodging$19K

Food and Beverage$4K

Education$79

REFERRAL NETWORK

Where Rafael Villicana'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). 20 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Patarapha Wongsaroj Nephrology · Los Angeles, CA	90	612
Unilab Corporation Clinical Laboratory · West Hills, CA	85	382
Willis Wagner Vascular Surgery · Los Angeles, CA	56	275
DAFOE, DONALD	37	183
Dechu Puliyanda Pediatric Medicine · West Hollywood, CA	32	166
Jason Aaronson Diagnostic Radiology · Los Angeles, CA	31	103
Michael Witkosky Diagnostic Radiology · Sacramento, CA	31	110
Elton Tourje Diagnostic Radiology · Los Angeles, CA	30	107
Katherine Haker Diagnostic Radiology · Los Angeles, CA	29	87
Brian Benway Urology · Washington, MO	25	128
NPI 1255335535	25	54
AMIN, MAHUL	20	156

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