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PROVIDER PROFILE · NPI 1881770915

Raymond Hernandez IiiM.D.

PRACTICEJEAN EDWARDS HOLT MD PASee all providers at this practice →
OphthalmologySan Antonio, TXI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,361
Unique beneficiaries
—
Total services
2,737
Distinct HCPCS
9
Medicare payment
$156K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,238 Ophthalmology providers in TX — above median (cohort median 1,864).
REFERRAL NETWORK

Where Raymond Hernandez Iii'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
PhysicianPatientsVisits
Novamed Surgery Center Of San Antonio Lp
Ambulatory Surgical Center · San Antonio, TX
215372
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
89128
Yolanda Marcos
Internal Medicine · San Antonio, TX
2238
Kalife Kuri
Cardiology · San Antonio, TX
2153
METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., L.L.P.2126
Robert Bass
Internal Medicine · San Antonio, TX
1941
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION1520
David Scales
Ophthalmology · San Antonio, TX
1325
Kenneth Sandoval
Diagnostic Radiology · San Antonio, TX
1316
SANTIAGO, RAFAEL1117
Rebecca Quiroz
Internal Medicine · San Antonio, TX
1123
Jean Liu
Interventional Cardiology · San Antonio, TX
1118
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.
QUALITY · MIPS · 2024
Final MIPS score
86.0
Quality
86.1
Cost
82.3
Improvement activities
40.0
Promoting interop.
82.0
Payment adjustment
0.46%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
2,216
Beneficiaries
—
Total drug cost
$434K
Distinct drugs
23
Brand share
29.4%
Top prescribed drugs
Latanoprost842 claims
Timolol Maleate262 claims
Dorzolamide Hcl/Timolol Maleat180 claims
Dorzolamide Hcl114 claims
Travoprost94 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$793
Payment records
22
By payment type
Food and Beverage$786
Education$8