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Dr. Rafael Medrano, MD

(Dr. Rafael Medrano, M.D.)

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Specializes in: Nuclear Cardiology and Adult Cardiology

Professional interests include: electrocardiogram (EKG), headache, percutaneous transluminal coronary artery angioplasty, and more.

4301 N Mesa Street Suite 101
El Paso, TX 79902

(915) 542-2352

Dr. Rafael Medrano, MD is a nuclear medicine specialist in El Paso, TX specializing in nuclear cardiology and adult cardiology. Dr. Rafael Medrano, MD is affiliated with Las Palmas del Sol Healthcare and Del Sol Medical Center Las Palmas Medical Center.

Office Locations

10640 Gateway North Boulevard Suite B
El Paso, TX 79924

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4301 N Mesa Street Suite 101
El Paso, TX 79902

(915) 542-2352

(915) 593-8559

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Some issues Dr. Rafael Medrano, MD can help you with:

Headache

Headaches are dull or sharp pains that occur in regions of the head and face. Headaches occur in many different forms and vary in location, severity, and duration. They are not necessarily a sign of an underlying illness and often resolve on their own. However, headaches can present significant day-to-day discomfort. The most common forms of headaches include:

Migraines: one of the most prevalent types of headache, migraines typically last from two hours to three days, causing a throbbing pain on one side of the head. Nausea, sensitivity to bright lights, fatigue, and blurred vision all may accompany migraines. While migraines have no known cure, medications and lifestyle modifications may ease symptoms. Avoiding behaviors that may trigger migraines such as lack of sleep or loud, repetitive noises can improve headaches.
Tension headaches: also known as stress headaches, these headaches are characterized by pain in the upper top part of the head and behind the eyes. Tension headaches are common and have no exact cause; however, certain practices may increase the likelihood of developing them. For example, wearing one's hair up in a tight hairstyle or wearing a restrictive hat can put pressure on the scalp, leading to a tension headache. Other causes of tension headaches may include alcohol or nicotine use, caffeine, teeth grinding, stress, overexertion, and eye strain. Some people find posture improvement, alternating sleeping positions, and neck exercise can alleviate tension headaches. Over-the-counter pain relievers such as ibuprofen (Advil, Motren) and naproxen sodium (Aleve) may also reduce tension-headache pain.
Sinus headaches: this type of headache causes pain in the sinuses, but may progress to pain and pressure in the eyes, forehead, and cheeks. These headaches are often accompanied by nasal congestion, fatigue, and ache in the upper teeth and may or may not be caused by sinus infections or sinusitis (sinus inflammation). Some sinus headaches are allergic headaches, which arise from allergic triggers such as seasonal allergies (pollen allergies) or hay fever, causing sinus pressure and facial pain. Other symptoms of allergic headaches include nasal congestion, irritated or watery eyes, runny nose, and sneezing. Allergic headaches may be treated with antihistamine medications such as cetirizine (Zyrtec). Allergic headaches are common during pollen season, which is usually around springtime.
Cluster headaches: these headaches occur suddenly and cause stabbing, sharp pain from one eye down to the one side of the neck. They are often referred to as the most aggravating and painful type of headaches. Other symptoms of cluster headaches include nasal congestion, droopy eyelid, and enlarged pupil on one side of the face. In the past, it was widely believed that cluster headaches were caused by a bevy or "cluster" of multiple types of headaches, such as a combination of an allergic headache and a tension headache. Medical experts now recognize that cluster headaches are a separate and unique form of headache. Cluster headaches last for around twenty minutes to two hours. They may recur throughout the period of a day or several weeks, but usually dissipate within a month. Treatment for cluster headaches includes over-the-counter pain medications such as ibuprofen (Advil, Motren) and naproxen sodium (Aleve). Prescription Prednisone can help with swelling and Verapamil may reduce pain by relaxing the blood vessels.

Living with headaches is challenging; headaches can prevent people from fully enjoying life. Medical treatment and care in avoiding certain triggers can help those with headaches begin to feel normal once again.

Noteworthy Medicare Patient Procedures Performed by Dr. Rafael Medrano, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Affordability:

arterial duplex ultrasound

arterial ultrasound

carotid duplex ultrasound

inpatient hospital care

lower extremity arterial duplex

lower extremity arterial ultrasound

lower extremity venous ultrasound

lower extremity venous duplex

vascular studies

vascular ultrasound

venous duplex ultrasound

venous ultrasound

In 2023, Dr. Rafael Medrano, MD had a list price for arterial duplex ultrasound, arterial ultrasound, carotid duplex ultrasound, carotid ultrasound, duplex ultrasound, hospital care, inpatient care, inpatient hospital care (for patient admitted to hospital), lower extremity arterial duplex, lower extremity (leg) arterial ultrasound, lower extremity (leg) venous ultrasound, lower extremity venous duplex, vascular studies, vascular ultrasound, venous duplex ultrasound, and venous ultrasound that was lower than the list prices billed to Medicare by 95% of providers in related specialties within Texas. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 10%

By Affordability:

cardiac imaging

In 2023, Dr. Rafael Medrano, MD had a list price for cardiac imaging that was lower than the list prices billed to Medicare by 90% of providers in related specialties within Texas. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 25%

By Volume:

lower extremity venous duplex

By Affordability:

cardiac stress testing

color Doppler echocardiography

Doppler echocardiography

echocardiogram

myocardial perfusion SPECT

nuclear scan

nuclear stress test

spectral Doppler echocardiography

SPECT scan

stress testing

transthoracic echocardiography

In 2012, among providers in related specialties within Texas, Dr. Rafael Medrano, MD performed more lower extremity venous duplex procedures for Medicare patients than 75% of them and he also had a list price for cardiac (heart) stress testing, color Doppler echocardiography, Doppler echocardiography, echocardiogram (echo), myocardial perfusion SPECT, nuclear scan, nuclear stress test (myocardial perfusion imaging), spectral Doppler echocardiography, SPECT scan, stress testing, and transthoracic echocardiography (TTE) that was lower than the list prices billed to Medicare by 75% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Rafael Medrano, MD treated as a nuclear medicine specialist in El Paso, TX during 2012 were cardiac procedures, stress testing, nuclear scan and ultrasound (sonogram).

Volume of procedures performed by Dr. Rafael Medrano, MD for Medicare patients.

ambulatory monitoring	48
blood draw	241
cardiac procedures	1824
doctor visit	2224
hospital care	628
inpatient care	613
nuclear scan	772
outpatient care	15
stress testing	1227
ultrasound (sonogram)	717
vascular procedures	265

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Rafael Medrano, MD treated as a nuclear medicine specialist in El Paso, TX during 2013 were cardiac procedures, stress testing, nuclear scan and ultrasound (sonogram).

Volume of procedures performed by Dr. Rafael Medrano, MD for Medicare patients.

ambulatory monitoring	30
blood draw	277
cardiac procedures	1445
doctor visit	1991
hospital care	448
inpatient care	448
nuclear scan	596
stress testing	950
ultrasound (sonogram)	594
vascular procedures	175

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Rafael Medrano, MD.

**Gender**
Male	596
Female	959

**Ethnicity**
Non-Hispanic White	331
Black	37
Hispanic	1162
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	515
From 75 to 84	580
85 and over	252
Less than 65	208

Conditions of Medicare patients treated by Dr. Rafael Medrano, MD in 2013

Hypertension	75
High Cholesterol	74
Stroke	8
Ischemic Heart Disease	58
Depression	25
Chronic Kidney Disease	36
Asthma	12
Osteoperosis	16
Atrial Fibrilation	14
Heart Failure	33
Chronic Obstructive Pulmonary Disease	22
Diabetes	55
Dementia	17
Cancer	9

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Rafael Medrano, MD treated as a nuclear medicine specialist in El Paso, TX during 2014 were cardiac procedures, stress testing, ultrasound (sonogram) and nuclear scan.

Volume of procedures performed by Dr. Rafael Medrano, MD for Medicare patients.

ambulatory monitoring	32
blood draw	208
cardiac procedures	1498
doctor visit	1902
hospital care	469
inpatient care	469
nuclear scan	589
stress testing	964
ultrasound (sonogram)	704
vascular procedures	242

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Rafael Medrano, MD.

**Gender**
Male	585
Female	969

**Ethnicity**
Non-Hispanic White	345
Black	52
Hispanic	1125
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	529
From 75 to 84	556
85 and over	261
Less than 65	208

Conditions of Medicare patients treated by Dr. Rafael Medrano, MD in 2014

Hypertension	75
High Cholesterol	75
Stroke	12
Ischemic Heart Disease	58
Depression	25
Chronic Kidney Disease	39
Asthma	13
Osteoperosis	15
Atrial Fibrilation	15
Heart Failure	36
Chronic Obstructive Pulmonary Disease	20
Diabetes	56
Dementia	19
Cancer	9

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Rafael Medrano, MD treated as a nuclear medicine specialist in El Paso, TX during 2015 were cardiac procedures, ultrasound (sonogram), stress testing and hospital care.

Volume of procedures performed by Dr. Rafael Medrano, MD for Medicare patients.

ambulatory monitoring	23
blood draw	49
cardiac procedures	904
doctor visit	1547
hospital care	412
inpatient care	412
nuclear scan	296
stress testing	480
ultrasound (sonogram)	612
vascular procedures	211

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Rafael Medrano, MD.

**Gender**
Male	1026
Female	1686

**Ethnicity**
Non-Hispanic White	692
Black	86
Hispanic	1876
Asian	28
Other	0
Native American	0

**Age**
From 65 to 74	910
From 75 to 84	930
85 and over	502
Less than 65	370

Conditions of Medicare patients treated by Dr. Rafael Medrano, MD in 2015

Hypertension	75
High Cholesterol	74
Stroke	12
Ischemic Heart Disease	57
Depression	24
Chronic Kidney Disease	44
Asthma	19
Osteoperosis	13
Atrial Fibrilation	15
Heart Failure	37
Chronic Obstructive Pulmonary Disease	22
Diabetes	57
Dementia	20
Cancer	7

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Rafael Medrano, MD treated as a nuclear medicine specialist in El Paso, TX during 2016 were cardiac procedures, ultrasound (sonogram), stress testing and hospital care.

Volume of procedures performed by Dr. Rafael Medrano, MD for Medicare patients.

ambulatory monitoring	24
cardiac procedures	905
doctor visit	1417
hospital care	314
inpatient care	314
nuclear scan	282
stress testing	462
ultrasound (sonogram)	665
vascular procedures	246

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Rafael Medrano, MD.

**Gender**
Male	524
Female	774

**Ethnicity**
Non-Hispanic White	369
Black	41
Hispanic	868
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	417
From 75 to 84	465
85 and over	260
Less than 65	156

Conditions of Medicare patients treated by Dr. Rafael Medrano, MD in 2016

Hypertension	75
High Cholesterol	75
Stroke	13
Ischemic Heart Disease	58
Depression	26
Chronic Kidney Disease	53
Asthma	29
Osteoperosis	16
Atrial Fibrilation	17
Heart Failure	37
Chronic Obstructive Pulmonary Disease	26
Diabetes	56
Dementia	24
Cancer	9

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Rafael Medrano, MD treated as a nuclear medicine specialist in El Paso, TX during 2017 were cardiac procedures, ultrasound (sonogram), stress testing and hospital care.

Volume of procedures performed by Dr. Rafael Medrano, MD for Medicare patients.

ambulatory monitoring	26
cardiac procedures	905
doctor visit	1392
hospital care	323
inpatient care	323
nuclear scan	303
stress testing	458
ultrasound (sonogram)	687
vascular procedures	279

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Rafael Medrano, MD.

**Gender**
Male	546
Female	858

**Ethnicity**
Non-Hispanic White	412
Black	61
Hispanic	894
Asian	15
Other	0
Native American	0

**Age**
From 65 to 74	469
From 75 to 84	482
85 and over	255
Less than 65	198

Conditions of Medicare patients treated by Dr. Rafael Medrano, MD in 2017

Hypertension	75
High Cholesterol	73
Stroke	14
Ischemic Heart Disease	58
Depression	29
Chronic Kidney Disease	56
Asthma	12
Osteoperosis	15
Atrial Fibrilation	15
Heart Failure	36
Chronic Obstructive Pulmonary Disease	26
Diabetes	57
Dementia	24
Cancer	10

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Rafael Medrano, MD treated as a nuclear medicine specialist in El Paso, TX during 2018 were cardiac procedures, ultrasound (sonogram), stress testing and vascular procedures.

Volume of procedures performed by Dr. Rafael Medrano, MD for Medicare patients.

cardiac procedures	648
doctor visit	1173
hospital care	237
inpatient care	237
nuclear scan	259
stress testing	368
ultrasound (sonogram)	583
vascular procedures	303

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Rafael Medrano, MD.

**Gender**
Male	514
Female	738

**Ethnicity**
Non-Hispanic White	350
Black	53
Hispanic	810
Asian	14
Other	14
Native American	11

**Age**
From 65 to 74	410
From 75 to 84	416
85 and over	252
Less than 65	174

Conditions of Medicare patients treated by Dr. Rafael Medrano, MD in 2018

Hypertension	75
High Cholesterol	75
Stroke	16
Ischemic Heart Disease	58
Depression	30
Chronic Kidney Disease	60
Asthma	15
Osteoperosis	16
Atrial Fibrilation	15
Heart Failure	38
Chronic Obstructive Pulmonary Disease	26
Diabetes	61
Dementia	28
Cancer	10

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Rafael Medrano, MD treated as a nuclear medicine specialist in El Paso, TX during 2019 were ultrasound (sonogram), cardiac procedures, vascular procedures and stress testing.

Volume of procedures performed by Dr. Rafael Medrano, MD for Medicare patients.

cardiac procedures	585
doctor visit	1167
hospital care	169
inpatient care	169
nuclear scan	209
stress testing	293
ultrasound (sonogram)	595
vascular procedures	303

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Rafael Medrano, MD.

**Gender**
Male	478
Female	670

**Ethnicity**
Non-Hispanic White	348
Black	58
Hispanic	714
Asian	15
Other	0
Native American	0

**Age**
From 65 to 74	373
From 75 to 84	393
85 and over	248
Less than 65	134

Conditions of Medicare patients treated by Dr. Rafael Medrano, MD in 2019

Hypertension	75
High Cholesterol	75
Stroke	16
Ischemic Heart Disease	60
Depression	31
Chronic Kidney Disease	61
Asthma	16
Osteoperosis	17
Atrial Fibrilation	15
Heart Failure	39
Chronic Obstructive Pulmonary Disease	26
Diabetes	63
Dementia	27
Cancer	10

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Rafael Medrano, MD treated as a nuclear medicine specialist in El Paso, TX during 2020 were ultrasound (sonogram), cardiac procedures, vascular procedures and stress testing.

Volume of procedures performed by Dr. Rafael Medrano, MD for Medicare patients.

cardiac procedures	264
doctor visit	682
hospital care	19
inpatient care	19
nuclear scan	114
stress testing	158
ultrasound (sonogram)	324
vascular procedures	218

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Rafael Medrano, MD.

**Gender**
Male	309
Female	452

**Ethnicity**
Non-Hispanic White	236
Black	22
Hispanic	475
Asian	12
Other	0
Native American	0

**Age**
From 65 to 74	237
From 75 to 84	271
85 and over	161
Less than 65	92

Conditions of Medicare patients treated by Dr. Rafael Medrano, MD in 2020

Hypertension	75
High Cholesterol	75
Stroke	15
Ischemic Heart Disease	55
Depression	30
Chronic Kidney Disease	63
Asthma	12
Osteoperosis	17
Atrial Fibrilation	14
Heart Failure	36
Chronic Obstructive Pulmonary Disease	24
Diabetes	60
Dementia	25
Cancer	13

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Rafael Medrano, MD treated as a nuclear medicine specialist in El Paso, TX during 2021 were ultrasound (sonogram), cardiac procedures, vascular procedures and stress testing.

Volume of procedures performed by Dr. Rafael Medrano, MD for Medicare patients.

cardiac procedures	339
doctor visit	868
hospital care	112
inpatient care	112
nuclear scan	101
stress testing	151
ultrasound (sonogram)	454
vascular procedures	266

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Rafael Medrano, MD.

**Gender**
Male	366
Female	512

**Ethnicity**
Non-Hispanic White	330
Black	43
Hispanic	484
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	280
From 75 to 84	313
85 and over	198
Less than 65	87

Conditions of Medicare patients treated by Dr. Rafael Medrano, MD in 2021

Hypertension	75
High Cholesterol	75
Stroke	16
Ischemic Heart Disease	57
Depression	27
Chronic Kidney Disease	59
Asthma	12
Osteoperosis	13
Atrial Fibrilation	17
Heart Failure	34
Chronic Obstructive Pulmonary Disease	22
Diabetes	57
Dementia	27
Cancer	13

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Rafael Medrano, MD treated as a nuclear medicine specialist in El Paso, TX during 2022 were ultrasound (sonogram), cardiac procedures, vascular procedures and stress testing.

Volume of procedures performed by Dr. Rafael Medrano, MD for Medicare patients.

cardiac procedures	385
doctor visit	784
hospital care	134
inpatient care	134
nuclear scan	110
stress testing	167
ultrasound (sonogram)	429
vascular procedures	211

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Rafael Medrano, MD.

**Gender**
Male	327
Female	478

**Ethnicity**
Non-Hispanic White	323
Black	42
Hispanic	410
Asian	16
Other	0
Native American	0

**Age**
From 65 to 74	260
From 75 to 84	288
85 and over	188
Less than 65	69

Conditions of Medicare patients treated by Dr. Rafael Medrano, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	17
Ischemic Heart Disease	47
Depression	28
Chronic Kidney Disease	43
Asthma	16
Osteoperosis	19
Atrial Fibrilation	27
Heart Failure	33
Chronic Obstructive Pulmonary Disease	27
Diabetes	55
Dementia	17
Cancer	17

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Rafael Medrano, MD for Medicare patients.

The highest averages for the top procedures that Dr. Rafael Medrano, MD treated as a nuclear medicine specialist in El Paso, TX were cardiac procedures, ultrasound (sonogram), stress testing and nuclear scan.

ambulatory monitoring	30
blood draw	193
cardiac procedures	882
doctor visit	1377
hospital care	296
inpatient care	295
nuclear scan	330
outpatient care	15
stress testing	516
ultrasound (sonogram)	578
vascular procedures	247

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Rafael Medrano, MD.

**Gender**
Male	479
Female	736

**Ethnicity**
Black / African American	45
Asian / Pacific Islander	9
Non-Hispanic White	339
Native American / Alaskan Native	1
Hispanic	801
Other	1

**Age**
75 to 84	426
85 and over	234
Less than 65	154
65 to 74	400

Average of Total of Conditions of Medicare patients treated by Dr. Rafael Medrano, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Rafael Medrano, MD treated were high cholesterol, hypertension, diabetes and ischemic heart disease.

Hypertension	68
High Cholesterol	67
Stroke	12
Ischemic Heart Disease	51
Depression	25
Chronic Kidney Disease	46
Asthma	14
Osteoporosis	14
Heart Failure	32
Chronic Obstructive Pulmonary Disease	21
Diabetes	52
Atrial Fibrillation	14
Cancer	9
Dementia	20

Education & Training

He has a state license in Texas.

Licensed In: Texas

Affiliations & Hospitals

Dr. Rafael Medrano, MD is associated with these hospitals and organizations:

Las Palmas del Sol Healthcare

Del Sol Medical Center Las Palmas Medical Center

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Rafael Medrano, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Abbott Laboratories	$2,705 Quadra Assura CRT Defibrillator $443	THORATEC HEARTMATE 3 LVAS IMPLANT KIT $320	Optisure Defibrillation ICD Lead $277	Assurity Pacemaker $259	Confirm Rx $177	Other $1,229
Janssen Pharmaceuticals, Inc	$1,500 XARELTO $1,387	INVOKANA $113
Novartis Pharmaceuticals Corporation	$1,268 ENTRESTO $1,070	LEQVIO $135	TEKTURNA $29	EXFORGE $19	NON BRAND $14
St. Jude Medical, Inc.	$760 Electrophysiology $516	Unify Assura $244
Astellas Pharma US Inc	$694 Lexiscan $372	$322
Other	$6,150 ELIQUIS $749	Repatha $612	Impella $490	WATCHMAN Access System $315	FARXIGA $291	Other $3,692

**Types of Payments**
Food and Beverage	$12,648
Education	$430

Biography

Dr. Rafael Medrano is a specialist in interventional radiology/diagnostic radiology (IR/DR), adult cardiology, and nuclear cardiology. He speaks Spanish. His areas of expertise include migraine, electrocardiogram (EKG), and percutaneous transluminal coronary artery angioplasty. Dr. Medrano is professionally affiliated with Las Palmas del Sol Healthcare. After completing medical school at Baylor College of Medicine, Dr. Medrano performed his residency at Baylor University Medical Center.