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PROVIDER PROFILE · NPI 1013105907

Maisy SannemanPA-C

Physician AssistantEdina, MNI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
22
Beneficiaries
—
Total drug cost
$41
Distinct drugs
1
Brand share
0.0%
Top prescribed drugs
Oxycodone Hcl22 claims
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 240001
Hospital
CCN 240214
Hospital
QUALITY · MIPS · 2024
Final MIPS score
84.8
Quality
64.6
Cost
84.9
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.41%
Group
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
110
Unique beneficiaries
—
Total services
138
Distinct HCPCS
3
Medicare payment
$7K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 3,057 Physician Assistant providers in MN — below median (cohort median 253).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$493
Payment records
11
By payment type
Food and Beverage$493
REFERRAL NETWORK

Where Maisy Sanneman'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 · 26 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
NPI 13766581872136
MAPLE GROVE HOSPITAL CORPORATION2031
Nellie Bauer
Diagnostic Radiology · Robbinsdale, MN
1939
Andrew Ruppert
Diagnostic Radiology · Robbinsdale, MN
1924
Hennepin Healthcare System, Inc
Opioid Treatment Program · Minneapolis, MN
1825
Mark Pilot
Diagnostic Radiology · Robbinsdale, MN
1522
Neil Skemp
Urology · Robbinsdale, MN
1425
TWIDWELL, JEFFRY1425
NPI 10837607891314
Jeff Counters
Internal Medicine · St Louis Park, MN
1116
Rahul Tamhane
Internal Medicine · Minneapolis, MN
1115
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
NORTH MEMORIAL HEALTH CARE5490
J Karl Kemberling
Urology · Edina, MN
4267
NORTH MEMORIAL HEALTH CARE3158
Keith Edinburgh
Diagnostic Radiology · Voorhees, NJ
2939
NPI 10837607892941
Richard Belkin
Diagnostic Radiology · Robbinsdale, MN
2538
Neil Skemp
Urology · Robbinsdale, MN
2534
Brian De Michaelis
Diagnostic Radiology · Robbinsdale, MN
2324
TWIDWELL, JEFFRY2339
NPI 13766581872245
Dean Tortorelis
Urology · Edina, MN
2132
Andrew Ruppert
Diagnostic Radiology · Robbinsdale, MN
1722
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.