PROVIDER PROFILE · NPI 1003908591

John NelsonMD

CardiologyFresno, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

2,273

Unique beneficiaries

—

Total services

3,465

Distinct HCPCS

Medicare payment

$228K

Peer benchmark

Total Medicare services vs. 1,869 Cardiology providers in CA — above median (cohort median 2,371).

PRESCRIBING · PART D · 2024

Total Rx claims

5,612

Beneficiaries

—

Total drug cost

$1.7M

Distinct drugs

Brand share

32.9%

Top prescribed drugs

Ezetimibe932 claims

Evolocumab511 claims

Icosapent Ethyl429 claims

Atorvastatin Calcium414 claims

Metoprolol Succinate393 claims

QUALITY · MIPS · 2024

Final MIPS score

39.0

Quality

41.7

Cost

74.5

Improvement activities

0.0

Promoting interop.

0.0

Payment adjustment

-4.32%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$4K

Payment records

By payment type

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$3K

Food and Beverage$2K

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 050093

Hospital

CCN 050121

Hospital

CCN 050192

Hospital

REFERRAL NETWORK

Where John Nelson'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). 11 inbound referrers · 37 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Unilab Corporation Clinical Laboratory · West Hills, CA	148	552
SAINT AGNES MEDICAL CENTER	79	176
Steve Su Nephrology · Fresno, CA	52	91
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER	36	110
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER	32	73
Thampi John Cardiology · Fresno, CA	19	41
Mitchell Jelen Family Practice · Reedley, CA	18	61
Charles Sohn Cardiology · Fresno, CA	17	33
Bipin Joshi Cardiology · Fresno, CA	16	31
REEDLEY COMMUNITY HOSPITAL	14	48
Hipolito Mariano Family Practice · Fresno, CA	13	94

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
ATHEROTECH, INC.	209	658
Unilab Corporation Clinical Laboratory · West Hills, CA	117	418
SAINT AGNES MEDICAL CENTER	70	164
Steve Su Nephrology · Fresno, CA	51	92
Kevin Boran Interventional Cardiology · Fresno, CA	48	286
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER	39	114
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER	38	80
NPI 1699872978	33	73
Patrick Golden Internal Medicine · Fresno, CA	28	85
Lakhjit Sandhu Cardiology · Fresno, CA	26	131
Mark Godiksen Internal Medicine · Clovis, CA	23	122
Khoi Le Cardiology · Fresno, CA	22	55

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history