Physician

Rafael J Rafols, M.D.

According to 2025 Medicare claims, Rafael Rafols, M.D. (NPI: 1609028612) practices family practice in the McAllen-Edinburg-Mission, TX market, with the plurality of this provider's patient population coming from Hidalgo, TX. This provider's primary affiliated billing organization is RAFAEL RAFOLS MD PA (NPI: 1891071106) and primary practice location at 78572-3222.

Rafols' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 412 traditional Medicare patients, billed 3,713 HCPCS/CPT codes, and received $1,004,834 in Medicare payments. The top billing code was 99305 (Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes). Part D data shows 599 prescription claims across 295 beneficiaries totaling $130,921 in drug costs, led by Santyl (Collagenase Clostridium Hist.). DME data shows 20 claims. Open Payments data shows 16 records totaling $8,052. 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's Medicare Part B carrier billing has moved sharply higher in recent years, from $646,334 to $1,004,834. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $79,725 to $130,921. For DME billing, reported payments declined steadily, from $122,025 to $33,139.