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PROVIDER PROFILE · NPI 1790016160

Nelson Medina Villanueva

Pulmonary DiseaseKissimmee, FLI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
956
Unique beneficiaries
—
Total services
1,276
Distinct HCPCS
15
Medicare payment
$106K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 732 Pulmonary Disease providers in FL — above median (cohort median 1,242).
REFERRAL NETWORK

Where Nelson Medina Villanueva'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). 85 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
County Of Volusia
Ambulance Service Provider · Holly Hill, FL
189644
Christopher Dibello
Pulmonary Disease · New Smyrna Beach, FL
163966
Theodossis Zacharis
Pulmonary Disease · New Smyrna Beach, FL
1211,093
MEMORIAL HEALTH SYSTEMS INC72358
SULBARAN, TULIO69200
BERT FISH MEDICAL CENTER INC59182
Roberto Medina
Diagnostic Radiology · Orlando, FL
53130
Godson Oguchi
Internal Medicine · Orange City, FL
42115
Roy Siragusa
Diagnostic Radiology · Gainesville, GA
38204
Rahul Mehta
Diagnostic Radiology · Orlando, FL
3889
Janak Bhavsar
Interventional Cardiology · Orange City, FL
3279
Joseph Cox
Diagnostic Radiology · Daytona Beach, FL
32183
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.
PRESCRIBING · PART D · 2024
Total Rx claims
1,622
Beneficiaries
—
Total drug cost
$537K
Distinct drugs
21
Brand share
77.6%
Top prescribed drugs
Fluticasone/Umeclidin/Vilanter386 claims
Albuterol Sulfate237 claims
Budesonide/Glycopyr/Formoterol118 claims
Montelukast Sodium109 claims
Budesonide/Formoterol Fumarate98 claims
QUALITY · MIPS · 2024
Final MIPS score
97.3
Quality
93.3
Cost
83.5
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.94%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$2K
Payment records
102
By payment type
Food and Beverage$2K
Education$32