What is Rafael Garcia's specialty?

Rafael Garcia (NPI 1740221761) is a Medicare-billing provider whose primary specialty is Otolaryngology in Hialeah, FL.

Where does Rafael Garcia practice?

Rafael Garcia practices in Hialeah, FL, based on the location reported in the CMS Medicare provider datasets for NPI 1740221761.

How much does Medicare pay Rafael Garcia?

Rafael Garcia (NPI 1740221761) received approximately $30K in total Medicare Part B payments, serving 103 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1740221761

Rafael GarciaMD

PRACTICEFLORIDA ENT ASSOCIATES, INC.See all providers at this practice →

OtolaryngologyHialeah, FLI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

276

Unique beneficiaries

—

Total services

310

Distinct HCPCS

Medicare payment

$21K

Peer benchmark

Total Medicare services vs. 578 Otolaryngology providers in FL — below median (cohort median 1,539).

PRESCRIBING · PART D · 2024

Total Rx claims

524

Beneficiaries

—

Total drug cost

$14K

Distinct drugs

Brand share

2.9%

Top prescribed drugs

Fluticasone Propionate147 claims

Fluocinolone Acetonide Oil103 claims

Levocetirizine Dihydrochloride50 claims

Azelastine Hcl48 claims

Triamcinolone Acetonide34 claims

QUALITY · MIPS · 2024

Final MIPS score

70.4

Quality

47.8

Cost

69.3

Improvement activities

40.0

Promoting interop.

97.0

Payment adjustment

-0.55%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

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). 12 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
TENET HOSPITALS LIMITED	65	138
Laboratory Corporation Of America Clinical Laboratory · Dallas, TX	22	47
David Patterson Diagnostic Radiology · El Paso, TX	20	52
EL PASO COUNTY HOSPITAL DISTRICT	20	55
SOUTHWEST X-RAY,LP	19	41
Jorge Contreras Otolaryngology · El Paso, TX	17	52
Oscar Aguilar Internal Medicine · El Paso, TX	15	27
Patrick Gomez Otolaryngology · El Paso, TX	15	30
Jorge Arango Otolaryngology · El Paso, TX	15	25
MASTER, KIRON	15	31
Armando Lopez Audiologist · El Paso, TX	15	20
City Of El Paso Texas Ambulance Service Provider · El Paso, TX	12	18

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