PROVIDER PROFILE · NPI 1720353097

Madel LumbresM.D.

PRACTICEKENNETH M. ROSE, M.D.,See all providers at this practice →

Internal MedicineNew York, NYI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,661

Unique beneficiaries

—

Total services

3,708

Distinct HCPCS

Medicare payment

$299K

Peer benchmark

Total Medicare services vs. 7,864 Internal Medicine providers in NY — top quintile (cohort median 552).

PRESCRIBING · PART D · 2024

Total Rx claims

444

Beneficiaries

—

Total drug cost

$11K

Distinct drugs

Brand share

23.9%

Top prescribed drugs

Gabapentin70 claims

Oxycodone Hcl/Acetaminophen43 claims

Ondansetron37 claims

Celecoxib32 claims

Trazodone Hcl31 claims

QUALITY · MIPS · 2024

Final MIPS score

61.1

Quality

36.7

Cost

61.8

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

-1.66%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Madel Lumbres'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). 48 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
City Of Jacksonville Ambulance Service Provider · Jacksonville, FL	113	251
Christopher Klassen Diagnostic Radiology · Milwaukee, WI	102	213
Gregory Wynn Diagnostic Radiology · Jacksonville, FL	78	173
Aravind Babu Kadiyala Hospitalist · Jacksonville, FL	55	125
NPI 1104891811	51	104
Vijayarama Vegesna Hospitalist · Jacksonville, FL	49	88
Travis Edelstein Diagnostic Radiology · Woodbridge, VA	49	109
James Cunningham Diagnostic Radiology · Jacksonville, FL	48	105
Cassandra Fernandez Diagnostic Radiology · El Segundo, CA	47	130
EDGAR, DIANA	44	84
Dalys Haymes Diagnostic Radiology · Jacksonville, FL	40	76
Vinay Gagadam Hospitalist · Jacksonville, FL	39	92

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