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

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