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PROVIDER PROFILE · NPI 1003808676

Benjamin PhillipsM.D.

OphthalmologyManitowoc, WII
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 520034
Hospital
CCN 520107
Hospital
QUALITY · MIPS · 2024
Final MIPS score
86.2
Quality
78.5
Cost
75.5
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.47%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
2,266
Beneficiaries
—
Total drug cost
$88K
Distinct drugs
19
Brand share
26.5%
Top prescribed drugs
Latanoprost502 claims
Prednisolone Acetate405 claims
Moxifloxacin Hcl305 claims
Ketorolac Tromethamine299 claims
Timolol Maleate160 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,182
Unique beneficiaries
—
Total services
1,810
Distinct HCPCS
13
Medicare payment
$219K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 304 Ophthalmology providers in WI — above median (cohort median 1,730).
REFERRAL NETWORK

Where Benjamin Phillips'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). 15 inbound referrers · 31 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
AURORA HEALTH CARE NORTH, INC.48130
Supriya Sharma
Diagnostic Radiology · St Francis, WI
2938
Tresa Teehan
Internal Medicine · Two Rivers, WI
25123
Matthew Gentile
Interventional Cardiology · Manitowoc, WI
2167
SCHMIDT, GARY2074
Mark Herring
Internal Medicine · Manitowoc, WI
1962
Betsy Wernli
Dermatology · Manitowoc, WI
1839
Janeen Hudzinski
Family Practice · Green Bay, WI
1750
KATZ, KENNETH1719
SWERCHOWSKY, VLADIMIR1445
Jesse Borman
Diagnostic Radiology · Green Bay, WI
1324
Michael Rosenberg
Interventional Cardiology · Manitowoc, WI
1232
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
HOLY FAMILY MEMORIAL INC2461,083
A2cl Services, Llc
Clinical Laboratory · West Allis, WI
68135
AURORA HEALTH CARE NORTH, INC.48152
DUDEK, STEPHEN3348
Todd Schroeder
Diagnostic Radiology · Manitowoc, WI
3261
Pradeep Giriyappa
Internal Medicine · Manitowoc, WI
30102
Betsy Wernli
Dermatology · Manitowoc, WI
2333
Robert Cornwell
Internal Medicine · Manitowoc, WI
2372
SCHMIDT, GARY2277
Mark Herring
Internal Medicine · Manitowoc, WI
2274
KELLER, THOMAS2130
Richard Theobald
Internal Medicine · Two Rivers, WI
2064
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.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$35
Payment records
2
By payment type
Food and Beverage$35
Top paying entities
Food and Beverage$35