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PROVIDER PROFILE · NPI 1912108465

Luis TousM.D.

Colorectal Surgery (Proctology)San Juan, PRI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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REFERRAL NETWORK

Where Luis Tous'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). 2 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Rafael Bermudez
Internal Medicine · San Juan, PR
22113
Kathia Rosado-Orozco
Pathology · San Juan, PR
1131
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
121
Unique beneficiaries
—
Total services
132
Distinct HCPCS
5
Medicare payment
$12K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 9 Colorectal Surgery (Proctology) providers in PR — above median (cohort median 150).
PRESCRIBING · PART D · 2024
Total Rx claims
993
Beneficiaries
—
Total drug cost
$17K
Distinct drugs
13
Brand share
30.9%
Top prescribed drugs
Naloxone Hcl342 claims
Midazolam Hcl131 claims
Flumazenil105 claims
Midazolam Hcl/Pf97 claims
Fentanyl Citrate/Pf95 claims
QUALITY · MIPS · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$956
Payment records
10
By payment type
Food and Beverage$941
Gift$15