Dr. Rafael Medrano, M.D.
What this data tells you about Dr. Medrano
Dr. Rafael Medrano is an internal medicine specialist in El Paso, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Medrano performed 1,312 Medicare services across 1,171 unique beneficiaries.
Between the years covered by Open Payments, Dr. Medrano received a total of $8,953 from 40 pharmaceutical and/or device companies across 392 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal 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. Medrano 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 |
|---|---|---|---|
| Office visit, established patient (20-29 min) | 237 | $57 | $139 |
| Office visit, established patient (30-39 min) | 166 | $87 | $206 |
| Echocardiogram, transthoracic | 158 | $52 | $211 |
| Electrocardiogram (EKG), 12-lead | 138 | $9 | $60 |
| Nuclear medicine studies of heart muscle at rest and with stress and spect | 80 | $56 | $236 |
| Ultrasound study of one arm or leg veins with compression and maneuvers | 62 | $16 | $70 |
| New patient office visit, complex (60-74 min) | 56 | $141 | $398 |
| Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician | 52 | $10 | $47 |
| Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician | 51 | $15 | $70 |
| Ultrasound study of arm or leg veins with compression and maneuvers | 49 | $25 | $106 |
| EKG interpretation and report | 44 | $6 | $30 |
| Hospital follow-up visit, moderate complexity | 44 | $61 | $141 |
| Heart rhythm recording continous external ekg over more than 48 hours up to 7 days | 30 | $9 | $45 |
| Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days | 30 | $18 | $72 |
| Ultrasound of leg arteries or artery grafts | 27 | $29 | $88 |
| Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 27 | $14 | $40 |
| Ultrasound of both sides of head and neck blood flow | 19 | $26 | $92 |
| Hospital follow-up visit, high complexity | 17 | $82 | $202 |
| Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician | 13 | $52 | $277 |
| Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional | 12 | $19 | $79 |
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 ›
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 10% for internal 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. Medrano is a clinical cardiology specialist, with above-average Medicare volume (top 27% in TX), with low-engagement industry engagement in the top 10% of TX peers, with 20 years of NPI registration.
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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