What is Rafael Garcia's specialty?

Rafael Garcia (NPI 1720020787) is a Medicare-billing provider whose primary specialty is Nephrology in Westlake, OH.

Where does Rafael Garcia practice?

Rafael Garcia practices in Westlake, OH, based on the location reported in the CMS Medicare provider datasets for NPI 1720020787.

How much does Medicare pay Rafael Garcia?

Rafael Garcia (NPI 1720020787) received approximately $70K in total Medicare Part B payments, serving 247 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

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

Top paying entities

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

Healthparse Signals

Monitor this provider for changes — dated NPI change events