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PROVIDER PROFILE · NPI 1013001486

Richard ConverseMD

PRACTICECATHOLIC HEALTH INITIATIVES COLORADOSee all providers at this practice →
CardiologyDurango, COI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 060013
Hospital
CCN 060031
Hospital
CCN 061327
Hospital
CCN 061328
Hospital
CCN 320005
Hospital
REFERRAL NETWORK

Where Richard Converse'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). 83 inbound referrers · 249 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
PRESBYTERIAN HEALTHCARE SERVICES9654,214
Bernalillo County Health Care Corporation
Ambulance Service Provider · Albuquerque, NM
254416
PRESBYTERIAN HEALTHCARE SERVICES249623
TRICORE REFERENCE LABORATORIES160530
Jeremy Logan
Diagnostic Radiology · Bend, OR
105167
Duncan Lill
Diagnostic Radiology · Albuquerque, NM
103173
ALLEN, KATHLEEN86162
Vanessa Marin
Cardiology · Albuquerque, NM
83140
Samuel Southam
Diagnostic Radiology · Provo, UT
77126
Hirak Sen
Clinical Cardiac Electrophysiology · Pensacola, FL
5488
Lara Patriquin
Diagnostic Radiology · Albuquerque, NM
5383
Douglas Meek
Diagnostic Radiology · Albuquerque, NM
4872
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
PRESBYTERIAN HEALTHCARE SERVICES1,2375,878
Bernalillo County Health Care Corporation
Ambulance Service Provider · Albuquerque, NM
348544
PRESBYTERIAN HEALTHCARE SERVICES270654
Duncan Lill
Diagnostic Radiology · Albuquerque, NM
214342
Jeremy Logan
Diagnostic Radiology · Bend, OR
193352
David Phung
Diagnostic Radiology · Albuquerque, NM
184275
Berndt Schmit
Diagnostic Radiology · Dallas, TX
174286
Randall Sellers
Diagnostic Radiology · Albuquerque, NM
173273
Harold Sunderman
Cardiology · Albuquerque, NM
165313
Samuel Southam
Diagnostic Radiology · Provo, UT
162283
TRICORE REFERENCE LABORATORIES155509
Tapan Godiwala
Cardiology · Raleigh, NC
152275
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,513
Unique beneficiaries
—
Total services
2,880
Distinct HCPCS
22
Medicare payment
$79K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 211 Cardiology providers in CO — top quintile (cohort median 1,665).
PRESCRIBING · PART D · 2024
Total Rx claims
1,872
Beneficiaries
—
Total drug cost
$340K
Distinct drugs
30
Brand share
22.4%
Top prescribed drugs
Metoprolol Succinate285 claims
Atorvastatin Calcium224 claims
Losartan Potassium162 claims
Apixaban153 claims
Warfarin Sodium137 claims
QUALITY · MIPS · 2024
Final MIPS score
89.1
Quality
89.5
Cost
74.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.59%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$144
Payment records
6
By payment type
Food and Beverage$144