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PROVIDER PROFILE · NPI 1033119904

NPI 1033119904

PRACTICEICP PPO, LLCSee all providers at this practice →
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where NPI 1033119904'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). 4 inbound referrers · 10 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
The South Bend Clinic Llc
Ambulatory Surgical Center · South Bend, IN
69116
MEMORIAL HOSPITAL OF SOUTH BEND3554
Steven Crowell
Internal Medicine · South Bend, IN
1627
LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC1324
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Dermatopathology Laboratory Of Central States
Clinical Laboratory · Dayton, OH
153226
Holly Hake-Harris
Dermatology · South Bend, IN
135212
The South Bend Clinic Llc
Ambulatory Surgical Center · South Bend, IN
99172
South Bend Medical Foundation, Inc
Clinical Laboratory · South Bend, IN
87149
MEMORIAL HOSPITAL OF SOUTH BEND4569
SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, INC.3847
SAINT JOSEPH REGIONAL MEDICAL CENTER- PLYMOUTH CAMPUS INC2036
LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC1533
George Kneller
Family Practice · Laporte, IN
1418
Steven Crowell
Internal Medicine · South Bend, IN
1120
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.