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PROVIDER PROFILE · NPI 1770862047

Sergio CantuM.D.

PRACTICES-S-CSee all providers at this practice →
Family PracticeAlice, TXI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
35.1
Quality
20.0
Cost
56.9
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
-4.79%
Individual
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$895
Payment records
43
By payment type
Food and Beverage$895
Top paying entities
Food and Beverage$895
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,990
Unique beneficiaries
—
Total services
14,403
Distinct HCPCS
31
Medicare payment
$788K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 6,385 Family Practice providers in TX — top quintile (cohort median 567).
PRESCRIBING · PART D · 2024
Total Rx claims
35,842
Beneficiaries
—
Total drug cost
$2.9M
Distinct drugs
255
Brand share
22.2%
Top prescribed drugs
Levothyroxine Sodium1,909 claims
Atorvastatin Calcium1,644 claims
Clopidogrel Bisulfate1,042 claims
Gabapentin930 claims
Lisinopril911 claims
REFERRAL NETWORK

Where Sergio Cantu'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). 40 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION168965
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
165762
REAL LIFE HEALTHCARE SYSTEMS, LLC101794
HIDALGO COUNTY EMERGENCY SERVICE FOUNDATION85391
RJ MERIDIAN CARE OF ALICE, LTD65784
UVALDE COUNTY HOSPITAL AUTHORITY56430
Corridor Medical Services Inc
Portable X-Ray Supplier · New Braunfels, TX
53768
Thomas Ertzner
Diagnostic Radiology · Corpus Christi, TX
49176
GUTIERREZ QUEHL, CARLOS49236
Suraj Kamat
Cardiology · Alice, TX
49425
EDWARDS, GREGSON41118
Victor Trevino
Family Practice · San Antonio, TX
38232
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.