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PROVIDER PROFILE · NPI 1003804162

Michael HeiseMD

Internal MedicineMc Murray, PAI
CROSS-REFERENCE

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ProviderScore
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
291
Unique beneficiaries
—
Total services
738
Distinct HCPCS
6
Medicare payment
$63K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 4,434 Internal Medicine providers in PA — above median (cohort median 550).
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (10)

CCN 398088
Home health agency
CCN 391660
Hospice
CCN 391685
Hospice
CCN 390042
Hospital
CCN 390114
Hospital
CCN 390160
Hospital
CCN 390265
Hospital
CCN 395032
Nursing home
CCN 395596
Nursing home
CCN 395823
Nursing home
PRESCRIBING · PART D · 2024
Total Rx claims
13,147
Beneficiaries
—
Total drug cost
$829K
Distinct drugs
179
Brand share
24.5%
Top prescribed drugs
Atorvastatin Calcium628 claims
Levothyroxine Sodium455 claims
Amlodipine Besylate431 claims
Pantoprazole Sodium379 claims
Tamsulosin Hcl370 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$799
Payment records
41
By payment type
Food and Beverage$799
QUALITY · MIPS · 2024
Final MIPS score
93.9
Quality
85.0
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.80%
APM Entity
REFERRAL NETWORK

Where Michael Heise's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 17 inbound referrers · 44 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Peter Moulder
Internal Medicine · Mc Murray, PA
34112
ST CLAIR MEMORIAL HOSPITAL30172
AHF/ CENTRAL STATES, INC27156
Fort Cherry Ambulance Inc
Ambulance Service Provider · Mc Donald, PA
27159
Yadavendra Rajawat
Interventional Cardiology · Canonsburg, PA
2569
Kathleen Latouf
Emergency Medicine · Beaver, PA
2345
Gary Reck
Optometry · Delmont, PA
1977
Veterans Of Foreign Wars Of The United States Dept Of Pennsylvania
Ambulance Service Provider · Mcmurray, PA
1950
Ambulance And Chair Ems, Inc
Ambulance Service Provider · Washington, PA
1862
WEST PENN ALLEGHENY HEALTH SYSTEM INC.1764
David Celko
Pulmonary Disease · Mc Murray, PA
1654
Southbridge Emergency Medical Services Inc
Ambulance Service Provider · Bridgeville, PA
1659
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
CANONSBURG GENERAL HOSPITAL212590
William Thomeier
Diagnostic Radiology · Pittsburgh, PA
87315
Mark Hilborn
Diagnostic Radiology · Fort Myers, FL
61234
UPMC WASHINGTON61257
COUNTRY MEADOWS OF SOUTH HILLS ASSOCIATES41178
GGNSC CANONSBURG LP40442
John Wilson
Interventional Cardiology · Pittsburgh, PA
39166
AHF/ CENTRAL STATES, INC34233
Canonsburg General Hospital Ambulance Service
Ambulance Service Provider · Canonsburg, PA
3479
Fort Cherry Ambulance Inc
Ambulance Service Provider · Mc Donald, PA
34206
Quest Diagnostics Venture Llc
Clinical Laboratory · Pittsburgh, PA
33332
Yadavendra Rajawat
Interventional Cardiology · Canonsburg, PA
33101
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.