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PROVIDER PROFILE · NPI 1770729816

Rafael CortesMD

PRACTICEFIRST COAST GASTROENTEROLOGYSee all providers at this practice →
GastroenterologySt Augustine, FLI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$2K
Payment records
99
By payment type
Food and Beverage$2K
QUALITY · MIPS · 2024
Final MIPS score
78.9
Quality
69.7
Cost
69.3
Improvement activities
40.0
Promoting interop.
89.0
Payment adjustment
0.17%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
682
Beneficiaries
—
Total drug cost
$453K
Distinct drugs
20
Brand share
42.1%
Top prescribed drugs
Pantoprazole Sodium131 claims
Omeprazole124 claims
Peg3350/Sod Sul/Nacl/Kcl/Asb/C114 claims
Linaclotide30 claims
Esomeprazole Magnesium29 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
945
Unique beneficiaries
—
Total services
2,782
Distinct HCPCS
18
Medicare payment
$138K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,135 Gastroenterology providers in FL — top quintile (cohort median 817).
REFERRAL NETWORK

Where Rafael Cortes'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). 28 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
ADVENTIST HEALTH SYSTEM-SUNBELT, INC169644
FLAGLER HOSPITAL INC2886
Josiah Bancroft
Diagnostic Radiology · Venice, FL
2793
Vikram Patel
Diagnostic Radiology · Orlando, FL
27102
Donald Nies
Diagnostic Radiology · Jacksonville, FL
2668
Maryam Kashi
Gastroenterology · Orlando, FL
24182
Irteza Inayat
Gastroenterology · Orlando, FL
2290
Prashanta Laddu
Cardiology · Winter Park, FL
2094
Nicholas Feranec
Diagnostic Radiology · Gainesville, FL
1932
Myeong Yoon
Diagnostic Radiology · Tulsa, OK
1870
GUARDA, LUIS1753
Ronald Shill
Diagnostic Radiology · Orlando, FL
1743
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.