Physician

Rafael Osvaldo Hernandez Lora, M.D.

According to 2025 Medicare claims, Rafael Lora, M.D. (NPI: 1689914814) practices internal medicine in the Miami-Miami Beach-Kendall, FL market, with the plurality of this provider's patient population coming from Miami-Dade, FL. This provider's primary affiliated billing organization is DOMUS CARE SOLUTIONS (NPI: 1285264093; TIN: 843638733) and primary practice location at 33012-6147. Lora is affiliated with the The Accountable Care Organization, Ltd. (ACO ID: A2098) and Genuine Health Direct, LLC (ACO ID: D0008), participating under both the MSSP and REACH models.

Lora's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 337 traditional Medicare patients, billed 4,320 HCPCS/CPT codes, and received $371,545 in Medicare payments. The top billing code was 99349 (Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes). Part D data shows 4,887 prescription claims across 318 beneficiaries totaling $432,276 in drug costs, led by Eliquis (Apixaban). DME data shows 177 claims. Open Payments data shows 4 records totaling $96. 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 $39,694 to $371,545. Similarly, Part D prescription costs have moved sharply higher in recent years, from $26,743 to $432,276. In contrast, DME billing represents a smaller volume and did not follow a clear longitudinal pattern.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	102	376	$39,694
2021	137	2,038	$113,233
2022	180	844	$51,027
2023	287	3,479	$205,951
2024	337	4,320	$371,545

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	128	443	$26,743
2016	91	438	$26,022
2017	47	290	$14,274
2018	39	271	$9,136
2019	28	209	$6,862
2020	80	370	$16,192
2021	129	1,842	$119,411
2022	155	1,976	$154,396
2023	241	3,440	$342,096
2024	318	4,887	$432,276

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	286	$7,717
2022	N/R	80	$2,623
2023	N/R	181	$6,048
2024	N/R	177	$4,179

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99349	Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	142	395	$94
99490	Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	268	2,007	$48
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	94	110	$40
99439	Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	223	837	$38
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a	79	175	$30

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	136	6,457	$120,319
Biktarvy	Bictegrav/Emtricit/Tenofov Ala	13	390	$48,472
Tradjenta	Linagliptin	12	930	$15,688
Ozempic	Semaglutide	15	420	$14,728
Farxiga	Dapagliflozin Propanediol	18	660	$12,570

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E0630	Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)	Y	N/R	41	$1,652
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	N/R	18	$946
K0001	Standard wheelchair	Y	N/R	51	$930
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	N/R	17	$248
K0195	Elevating leg rests, pair (for use with capped rental wheelchair base)	Y	N/R	22	$180

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	4	$96	Novo Nordisk Inc
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Rafael Osvaldo Hernandez Lora, M.D.?

Tedicare shows public-source Medicare data for Rafael Osvaldo Hernandez Lora, M.D. (NPI 1689914814), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Rafael Osvaldo Hernandez Lora, M.D. have ACO affiliation data?

Rafael Osvaldo Hernandez Lora, M.D. is shown with ACO affiliation data for The Accountable Care Organization, Ltd. (MSSP, ACO ID A2098) and Genuine Health Direct, LLC (REACH, ACO ID D0008).

What billing organization is linked to Rafael Osvaldo Hernandez Lora, M.D.?

Rafael Osvaldo Hernandez Lora, M.D. is linked to DOMUS CARE SOLUTIONS (billing NPI 1285264093) in the available physician profile data.

Does Rafael Osvaldo Hernandez Lora, M.D. have Open Payments data?

Rafael Osvaldo Hernandez Lora, M.D. has 4 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.