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PROVIDER PROFILE · NPI 1033510508

Theresa KoppalPA-C

Physician AssistantGilbert, AZI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
366
Unique beneficiaries
—
Total services
1,641
Distinct HCPCS
10
Medicare payment
$21K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 2,639 Physician Assistant providers in AZ — top quintile (cohort median 341).
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 030107
Hospital
REFERRAL NETWORK

Where Theresa Koppal'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). 1 inbound referrers · 5 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
BANNER HEALTH3048
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Dario Lizarraga
Family Practice · Florence, AZ
3994
Sonora Quest Laboratories Llc
Clinical Laboratory · Phoenix, AZ
1627
BANNER HEALTH1519
NPI 14879303011519
Christian Ingui
Diagnostic Radiology · Laredo, TX
1112
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.
QUALITY · MIPS · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$377
Payment records
28
By payment type
Food and Beverage$377
PRESCRIBING · PART D · 2024
Total Rx claims
95
Beneficiaries
—
Total drug cost
$660
Distinct drugs
4
Brand share
0.0%
Top prescribed drugs
Oxycodone Hcl47 claims
Gabapentin19 claims
Methylprednisolone16 claims
Tramadol Hcl13 claims