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PROVIDER PROFILE · NPI 1003832817

Michael MistrettaM.D.

Pulmonary DiseaseRichmond, VAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 490032
Hospital
CCN 490059
Hospital
CCN 490069
Hospital
CCN 490118
Hospital
CCN 490136
Hospital
QUALITY · MIPS · 2024
Final MIPS score
84.5
Quality
72.0
Cost
77.3
Improvement activities
40.0
Promoting interop.
99.0
Payment adjustment
0.40%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$2K
Payment records
117
By payment type
Food and Beverage$2K
Education$12
PRESCRIBING · PART D · 2024
Total Rx claims
3,606
Beneficiaries
—
Total drug cost
$1.2M
Distinct drugs
30
Brand share
68.5%
Top prescribed drugs
Fluticasone/Umeclidin/Vilanter704 claims
Albuterol Sulfate448 claims
Montelukast Sodium305 claims
Budesonide/Glycopyr/Formoterol229 claims
Prednisone210 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,415
Unique beneficiaries
—
Total services
9,621
Distinct HCPCS
25
Medicare payment
$362K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 252 Pulmonary Disease providers in VA — top quintile (cohort median 1,019).
REFERRAL NETWORK

Where Michael Mistretta'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). 97 inbound referrers · 154 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
HCA HEALTH SERVICES OF VIRGINIA INC4091,300
Craig Mccormick
Diagnostic Radiology · Richmond, VA
174593
Julius Hurwitz
Diagnostic Radiology · Richmond, VA
139478
FIDLER, ROBERT117345
Sujoy Gill
Pulmonary Disease · Richmond, VA
104589
RADOW, SCOTT102799
MIKSA, ANDREA77385
Mir Ali
Sleep Medicine · Richmond, VA
74301
Lowrey Holthaus
Diagnostic Radiology · Richmond, VA
71255
Jiyearn Chung
Diagnostic Radiology · Richmond, VA
64188
Christopher Nicholson
Cardiology · Richmond, VA
63229
Philip Rizk
Hospitalist · Richmond, VA
57211
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
HCA HEALTH SERVICES OF VIRGINIA INC287901
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
162435
Craig Mccormick
Diagnostic Radiology · Richmond, VA
104294
BON SECOURS ST. MARY'S HOSPITAL OF RICHMOND LLC87216
Julius Hurwitz
Diagnostic Radiology · Richmond, VA
85199
RADOW, SCOTT82391
Sujoy Gill
Pulmonary Disease · Richmond, VA
80355
Kenneth Haft
Pulmonary Disease · Richmond, VA
80640
Emily Revenson
Physician Assistant · Richmond, VA
74234
AMELIA AMBULANCE SERVICE INC72262
FIDLER, ROBERT70169
MIKSA, ANDREA68432
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.