Physician

Raul Jesus Flores, MD

According to 2025 Medicare claims, Raul Flores, MD (NPI: 1376938589) practices advanced heart failure and transplant cardiology in the Newark, NJ market, with the plurality of this provider's patient population coming from Morris, NJ. This provider's primary affiliated billing organization is PRACTICE ASSOCIATES MEDICAL GROUP (NPI: 1427016385; TIN: 202088165) and primary practice location at 07960-6136. Flores is affiliated with the Atlantic ACO (ACO ID: A1026), participating under the MSSP model.

Flores' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 316 traditional Medicare patients, billed 749 HCPCS/CPT codes, and received $84,931 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 757 prescription claims across 176 beneficiaries totaling $4,447,424 in drug costs, led by Vyndamax (Tafamidis). DME data shows 48 claims. Open Payments data shows 136 records totaling $5,076. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $2,351 and ending at $4,447,424. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.