PROVIDER PROFILE · NPI 1720020787

Rafael GarciaM.D.

NephrologyWestlake, OHI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

415

Unique beneficiaries

—

Total services

683

Distinct HCPCS

Medicare payment

$59K

Peer benchmark

Total Medicare services vs. 348 Nephrology providers in OH — below median (cohort median 981).

PRESCRIBING · PART D · 2024

Total Rx claims

392

Beneficiaries

—

Total drug cost

$52K

Distinct drugs

Brand share

17.3%

Top prescribed drugs

Losartan Potassium68 claims

Lisinopril57 claims

Amlodipine Besylate43 claims

Dapagliflozin Propanediol39 claims

Allopurinol35 claims

QUALITY · MIPS · 2024

Final MIPS score

81.2

Quality

63.1

Cost

74.2

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.26%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$59

Payment records

By payment type

Food and Beverage$59

REFERRAL NETWORK

Where Rafael Garcia'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). 61 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION	237	1,032
Rajesh Agarwal Internal Medicine · Mayfield Heights, OH	124	904
Arun Gupta Internal Medicine · Warrensville Heights, OH	112	896
LANE, JAMES	102	315
SULLIVAN, KERRY	94	238
SHEKAR, RAJA	86	281
NPI 1003914508	77	230
Artemisa Bobinski Physician Assistant · Warrensville Heights, OH	63	306
J&c Ambulance Service, Inc. Ambulance Service Provider · North Canton, OH	59	192
Jeffrey Stanley Vascular Surgery · Cuyahoga Falls, OH	57	344
Jeremy Edmiston Emergency Medicine · Beachwood, OH	57	97
Physicians Ambulance Service Inc Ambulance Service Provider · Brecksville, OH	47	166

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