Medicare Enrolled

Dr. Rafael Abreu, M.D

Family Medicine · Hialeah, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
1435 W 49TH PL STE 500, Hialeah, FL 33012
3053920380
In practice since 2009 (16 years)
NPI: 1265769822 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Abreu from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Abreu

Dr. Rafael Abreu is a family medicine in Hialeah, FL, with 16 years in practice. Based on federal Medicare data, Dr. Abreu performed 3,725 Medicare services across 1,920 unique beneficiaries.

Between the years covered by Open Payments, Dr. Abreu received a total of $2,545 from 24 pharmaceutical and/or device companies across 85 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Abreu is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 16 years in practice▲ Top 9% volume in FL$ $2,545 industry payments

Medicare Practice Summary

Medicare Utilization ↗
3,725
Medicare services
Top 9% in FL for family medicine
1,920
Unique beneficiaries
$90
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~233 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

ProcedureVolumeAvg. paidAvg. submitted
Hospital follow-up visit, moderate complexity867$67$195
Hospital follow-up visit, high complexity683$102$273
Initial hospital admission, high complexity419$147$324
Nursing facility visit, moderate complexity411$89$192
Hospital discharge management, 30+ min343$98$227
Hospital discharge day management, 30 minutes or less137$69$127
Chronic care management, first 20 min/month117$43$103
Office visit, established patient (20-29 min)107$75$239
Initial hospital admission, moderate complexity103$111$272
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes93$33$160
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 and91$43$150
Home visit, established patient, low complexity83$64$233
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 a53$35$75
Advance care planning consultation, first 30 min51$64$130
Transitional care management services for problem of high complexity35$231$301
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes22$177$325
Home visit, established patient, moderate complexity20$103$260
Nursing facility visit, low complexity19$63$205
Nursing facility discharge day management, 30 minutes or less16$69$160
New patient office visit (30-44 min)15$84$283
Nursing facility discharge management, more than 30 minutes14$111$250
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes13$113$263
Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes13$149$213
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$2,545
Total received (2018-2024)
Avg $364/year across 7 years
Top 19% in FL for family medicine
24
Companies
85
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$2,545 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$766
2023
$340
2022
$172
2021
$375
2020
$165
2019
$604
2018
$124

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Janssen Pharmaceuticals, Inc
$435
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$296
Novartis Pharmaceuticals Corporation
$280
UCB, Inc.
$234
Teva Pharmaceuticals USA, Inc.
$196
Boehringer Ingelheim Pharmaceuticals, Inc.
$183
Novo Nordisk Inc
$171
Penumbra, Inc.
$144
Otsuka America Pharmaceutical, Inc.
$129
Exact Sciences Corporation
$87
Boston Scientific Corporation
$66
PFIZER INC.
$45
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$39
Xeris Pharmaceuticals, Inc.
$39
Gilead Sciences, Inc.
$36
Sunovion Pharmaceuticals Inc.
$24
Ferring Pharmaceuticals Inc.
$23
E.R. Squibb & Sons, L.L.C.
$22
Ethicon US, LLC
$21
Lilly USA, LLC
$19
Shire North American Group Inc
$16
Biogen, Inc.
$15
Genentech USA, Inc.
$14
Daiichi Sankyo Inc.
$13
Top 3 companies account for 39.7% of total payments
Associated products mentioned in payments ›
ADUHELM · AUSTEDO · Briviact · COLOGUARD DNA CAPTURE REAGENTS · Cologuard Collection Kit · ELIQUIS · ENTRESTO · GVOKE PFS · INJECTAFER · INVOKANA · Indigo System · JARDIANCE · LINX Reflux Management System · LONHALA MAGNAIR · LifeVest · OFEV · Ozempic · REBYOTA · REXULTI · RYBELSUS · Rybelsus · TRULICITY · VYNDAMAX · WATCHMAN · XARELTO · XIFAXAN · Xofluza
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $68 per 100 Medicare services performed
Looking for a family medicine in Hialeah?
Compare family medicines in the Hialeah area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family Medicines within 10 mi
1,556
Per 100K population
57.9
County median income
$68,694
Nearest hospital
LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Abreu is a clinical cardiology specialist, with above-average Medicare volume (top 9% in FL), and high industry engagement (low-engagement, top 19%), with 16 years of practice experience.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Abreu experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Abreu performed 867 hospital follow-up visit, moderate complexity services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Abreu receive payments from pharmaceutical companies?
Yes. Dr. Abreu received a total of $2,545 from 24 companies across 85 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Abreu's costs compare to other family medicines in Hialeah?
Dr. Abreu's average Medicare payment per service is $90. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Abreu) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →