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PROVIDER PROFILE · NPI 1023094349

Herman BoteroD.O.

PRACTICEORTHOTENNESSEE, PCSee all providers at this practice →
Orthopedic SurgeryKnoxville, TNI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (7)

CCN 447312
Home health agency
CCN 341316
Hospital
CCN 440011
Hospital
CCN 440015
Hospital
CCN 440050
Hospital
CCN 440173
Hospital
CCN 443025
Inpatient rehabilitation facility
QUALITY · MIPS · 2024
Final MIPS score
87.3
Quality
69.0
Cost
88.5
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.52%
Subgroup
PRESCRIBING · PART D · 2024
Total Rx claims
3,815
Beneficiaries
—
Total drug cost
$58K
Distinct drugs
19
Brand share
20.0%
Top prescribed drugs
Ampicillin Trihydrate849 claims
Oxycodone Hcl/Acetaminophen540 claims
Diclofenac Sodium520 claims
Cefadroxil500 claims
Pantoprazole Sodium484 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$741
Payment records
2
By payment type
Food and Beverage$741
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,233
Unique beneficiaries
—
Total services
3,578
Distinct HCPCS
14
Medicare payment
$467K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 503 Orthopedic Surgery providers in TN — above median (cohort median 2,357).
REFERRAL NETWORK

Where Herman Botero'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). 12 inbound referrers · 31 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
METRO KNOXVILLE HMA LLC81340
PARKWEST MEDICAL CENTER54174
Rural/Metro Of Tennessee, L.P.
Ambulance Service Provider · Knoxville, TN
24132
Jason Varney
Nurse Practitioner · Knoxville, TN
1855
NHC HEALTHCARE-FARRAGUT LLC1664
Shoals Ambulance Llc
Ambulance Service Provider · Knoxville, TN
1640
EBERENZ, WAYNE1437
Daniel Baker
Diagnostic Radiology · Knoxville, TN
1427
Benjamin Egner
Diagnostic Radiology · Knoxville, TN
1325
Steven Addonizio
Diagnostic Radiology · Knoxville, TN
1227
DE GUZMAN, ABIGAIL1133
SOLSTAS LAB PARTNERS GROUP LLC1162
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
METRO KNOXVILLE HMA LLC124443
PARKWEST MEDICAL CENTER74248
Rural/Metro Of Tennessee, L.P.
Ambulance Service Provider · Knoxville, TN
30134
Shoals Ambulance Llc
Ambulance Service Provider · Knoxville, TN
2478
Laboratory Corporation Of America
Clinical Laboratory · Knoxville, TN
20106
Jason Varney
Nurse Practitioner · Knoxville, TN
2072
LOWRY, RANDOLPH19134
Lauren Smith
Nurse Practitioner · Knoxville, TN
19100
DE GUZMAN, ABIGAIL18118
NHC HEALTHCARE-FARRAGUT LLC1882
EBERENZ, WAYNE1851
Jeffrey Roesch
Diagnostic Radiology · Knoxville, TN
1764
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.