PROVIDER PROFILE · NPI 1851480453

Ramon CaballeroMD

PRACTICEVAMCSee all providers at this practice →

UrologyLexington, KYI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

942

Unique beneficiaries

—

Total services

1,179

Distinct HCPCS

Medicare payment

$89K

Peer benchmark

Total Medicare services vs. 107 Urology providers in KY — top quintile (cohort median 1,440).

PRESCRIBING · PART D · 2024

Total Rx claims

1,540

Beneficiaries

—

Total drug cost

$149K

Distinct drugs

Brand share

58.1%

Top prescribed drugs

Tamsulosin Hcl209 claims

Mirabegron188 claims

Hydrocodone/Acetaminophen183 claims

Ciprofloxacin Hcl128 claims

Alfuzosin Hcl93 claims

QUALITY · MIPS · 2024

Final MIPS score

88.1

Quality

73.9

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.55%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$87

Payment records

By payment type

Food and Beverage$87

REFERRAL NETWORK

Where Ramon Caballero'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). 17 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
GEORGETOWN COMMUNITY HOSPITAL LLC	98	552
SAINT JOSEPH HEALTH SYSTEM, INC	75	296
BOURBON COMMUNITY HOSPITAL LLC	54	500
SAINT JOSEPH HEALTH SYSTEM, INC	29	95
Raymonda Stevens Diagnostic Radiology · Lexington, KY	24	60
Ronald Slone Certified Registered Nurse Anesthetist (CRNA) · Georgetown, KY	20	65
Pamela Combs Cardiology · Paris, KY	19	91
Allen Westerfield Diagnostic Radiology · Lexington, KY	18	37
HARRISON, SCOTT	16	58
John Tuttle Urology · Lexington, KY	14	40
Georgetown-Scott County Ambulance Service Ambulance Service Provider · Georgetown, KY	13	174
Joseph Thomas Cardiology · Georgetown, KY	13	48

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