Physician

Rafael Eudardo Franjul Diaz, MD

According to 2025 Medicare claims, Rafael Diaz, MD (NPI: 1972866291) practices nephrology in the Sebring, FL market, with the plurality of this provider's patient population coming from Highlands, FL. This provider's primary affiliated billing organization is HIGHLANDS NEPHROLOGY AND HYPERTENSION, LLC (NPI: 1770216483; TIN: 882691886) and primary practice location at 33872-1986.

Diaz's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 494 traditional Medicare patients, billed 2,459 HCPCS/CPT codes, and received $236,863 in Medicare payments. The top billing code was 99222 (Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes). Part D data shows 266 prescription claims across 47 beneficiaries totaling $36,259 in drug costs, led by Velphoro (Sucroferric Oxyhydroxide). 2018 DME data shows 23 claims. No Open Payments records. 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 $14,188 and ending at $36,259. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$118K$237K2021 Medicare payment: $131,666 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $77,019 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $132,179 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $236,863 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
20212891,366$131,666
2022278807$77,019
20233501,453$132,179
20244942,459$236,863

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$18K$36K2015 Drug cost: $14,188 (USD; Tot_Drug_Cst)2017 Drug cost: $4,490 (USD; Tot_Drug_Cst)2018 Drug cost: $5,893 (USD; Tot_Drug_Cst)2019 Drug cost: $3,799 (USD; Tot_Drug_Cst)2020 Drug cost: $5,659 (USD; Tot_Drug_Cst)2021 Drug cost: $6,156 (USD; Tot_Drug_Cst)2022 Drug cost: $5,060 (USD; Tot_Drug_Cst)2023 Drug cost: $2,847 (USD; Tot_Drug_Cst)2024 Drug cost: $36,259 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201527179$14,188
2016N/RN/RN/R
20171433$4,490
201823122$5,893
20192579$3,799
20201753$5,659
202144145$6,156
202236116$5,060
20231540$2,847
202447266$36,259

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$195$3902018 Medicare payment: $390 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/R23$390
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes255299$107
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3991,861$96
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more1717$81
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more41105$69
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes5961$63

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
VelphoroSucroferric Oxyhydroxide14420$24,766
Sevelamer CarbonateSevelamer Carbonate251,230$2,934
Nifedipine ErNifedipine16780$399
BumetanideBumetanide20960$289
Amlodipine BesylateAmlodipine Besylate251,143$168

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Rafael Eudardo Franjul Diaz, MD?

Tedicare shows public-source Medicare data for Rafael Eudardo Franjul Diaz, MD (NPI 1972866291), 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 Eudardo Franjul Diaz, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Rafael Eudardo Franjul Diaz, MD?

Rafael Eudardo Franjul Diaz, MD is linked to HIGHLANDS NEPHROLOGY AND HYPERTENSION, LLC (billing NPI 1770216483) in the available physician profile data.

Does Rafael Eudardo Franjul Diaz, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.