Medicare Enrolled

Dr. Rafael Arciniegas Flores, M.D.

Pulmonary Disease · Miami, FL
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
Low-engagement
1611 NW 12TH AVE, Miami, FL 33136
3052436826
In practice since 2013 (12 years)
NPI: 1720427719 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. Arciniegas Flores 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. Arciniegas Flores

Dr. Rafael Arciniegas Flores is a pulmonary disease in Miami, FL, with 12 years in practice. Based on federal Medicare data, Dr. Arciniegas Flores performed 936 Medicare services across 801 unique beneficiaries.

Between the years covered by Open Payments, Dr. Arciniegas Flores received a total of $5,600 from 6 pharmaceutical and/or device companies across 33 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pulmonary disease. 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. Arciniegas Flores 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.

✓ 12 years in practice▲ 936 Medicare services$ $5,600 industry payments

Medicare Practice Summary

Medicare Utilization ↗
936
Medicare services
Bottom 44% in FL for pulmonary disease
801
Unique beneficiaries
$74
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~78 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
Critical care, first 30-74 min198$171$521
Test to examine how well the lungs exchange gases124$7$28
Test to measure expiratory airflow and volume changes before and after medication administration97$8$23
Test to determine lung volumes using sensors93$9$22
Hospital follow-up visit, moderate complexity60$64$162
Hospital follow-up visit, high complexity44$96$238
Test to measure expiratory airflow and volume36$6$15
Irrigation and suction of lung airways to obtain cells using an endoscope34$35$247
Critical care, each additional 30 minutes32$86$260
Office visit, established patient (30-39 min)30$76$141
Office visit, established patient, complex (40-54 min)30$105$197
Computer-assisted image-guided navigation of lung airways using an endoscope22$69$313
Initial hospital admission, moderate complexity18$102$317
Initial hospital admission, high complexity18$139$470
Exam of lung airways with diagnostic or therapeutic procedure on growths using an endoscope and ultrasound17$53$217
Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope15$138$859
Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 1-2 lymph nodes14$140$710
New patient office visit (45-59 min)14$99$225
New patient office visit, complex (60-74 min)14$134$309
Biopsy of lobe of lung using an endoscope, 1 lobe13$35$320
Insertion of non-tunneled central venous tube for infusion (5 years or older)13$62$221
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.
1.4% high complexity
6.3% medium
92.3% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$5,600
Total received (2022-2024)
Avg $1,867/year across 3 years
Top 34% in FL for pulmonary disease
6
Companies
33
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
$5,600 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,554
2023
$1,372
2022
$2,674

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Ethicon Inc.
$2,680
Pulmonx Corporation
$1,385
Medical Device Business Services, Inc.
$1,215
INTUITIVE SURGICAL, INC.
$126
Pinnacle Biologics, Inc
$111
ABIOMED
$83
Top 3 companies account for 94.3% of total payments
Associated products mentioned in payments ›
Da Vinci Surgical System · Impella · Monarch · Monarch Platform · Photofrin · ZEPHYR DELIVERY CATHETER · ZEPHYR ENDOBRONCHIAL VALVE
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 $598 per 100 Medicare services performed
Looking for a pulmonary disease in Miami?
Compare pulmonary diseases in the Miami area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Pulmonary Diseases within 10 mi
128
Per 100K population
4.8
County median income
$68,694
Nearest hospital
JACKSON HEALTH SYSTEM
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. Arciniegas Flores is a mixed practice specialist, with moderate Medicare volume, and low-engagement industry engagement.

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. Arciniegas Flores experienced with critical care, first 30-74 min?
Based on Medicare claims data, Dr. Arciniegas Flores performed 198 critical care, first 30-74 min 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. Arciniegas Flores receive payments from pharmaceutical companies?
Yes. Dr. Arciniegas Flores received a total of $5,600 from 6 companies across 33 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. Arciniegas Flores's costs compare to other pulmonary diseases in Miami?
Dr. Arciniegas Flores's average Medicare payment per service is $74. 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. Arciniegas Flores) 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 →