Dr. Rafael Rafols, M.D.
What this data tells you about Dr. Rafols
Dr. Rafael Rafols is a family medicine in Edinburg, TX, with 17 years in practice. Based on federal Medicare data, Dr. Rafols performed 1,228 Medicare services across 549 unique beneficiaries.
Between the years covered by Open Payments, Dr. Rafols received a total of $33,521 from 23 pharmaceutical and/or device companies across 335 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Rafols 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.
Medicare Practice Summary
Medicare Utilization ↗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.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Nursing facility visit, low complexity | 249 | $56 | $130 |
| Initial hospital admission, moderate complexity | 230 | $96 | $260 |
| Hospital follow-up visit, moderate complexity | 222 | $60 | $185 |
| Hospital follow-up visit, high complexity | 164 | $91 | $195 |
| Office visit, established patient (30-39 min) | 136 | $95 | $177 |
| Removal of skin and tissue, 20.0 sq cm or less | 63 | $90 | $200 |
| Office visit, established patient (20-29 min) | 55 | $67 | $150 |
| Removal of tissue from wound, 20.0 sq cm or less | 34 | $22 | $145 |
| Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | 31 | $115 | $257 |
| Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 19 | $96 | $250 |
| New patient office visit (45-59 min) | 13 | $121 | $313 |
| Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less | 12 | $286 | $769 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
The majority of payments (69%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 1% for family medicine in TX.
Geographic Context
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/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. Rafols is a clinical cardiology specialist, with above-average Medicare volume (top 23% in TX), and high industry engagement (consulting-driven, top 1%), with 17 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
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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.
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