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PROVIDER PROFILE · NPI 1043228927

Charlene PratherMD

GastroenterologySaint Louis, MOI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 140185
Hospital
CCN 260032
Hospital
CCN 260108
Hospital
CCN 260162
Hospital
CCN 260191
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
336
Unique beneficiaries
—
Total services
363
Distinct HCPCS
9
Medicare payment
$36K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 294 Gastroenterology providers in MO — below median (cohort median 585).
PRESCRIBING · PART D · 2024
Total Rx claims
624
Beneficiaries
—
Total drug cost
$92K
Distinct drugs
21
Brand share
45.5%
Top prescribed drugs
Peg3350/Sod Sulf,bicarb,cl/Kcl83 claims
Pantoprazole Sodium75 claims
Omeprazole50 claims
Prucalopride Succinate47 claims
Linaclotide36 claims
QUALITY · MIPS · 2024
Final MIPS score
84.2
Quality
71.6
Cost
75.7
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.39%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Charlene Prather'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). 13 inbound referrers · 43 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Peter Holtz
Diagnostic Radiology · Chesterfield, MO
2893
GARRETT, ROBERT24120
Debbie Bennett
Diagnostic Radiology · Saint Louis, MO
2275
Kelby Napier
Diagnostic Radiology · Saint Louis, MO
2265
MEHDIRAD, ALI2173
Christine Hachem
Gastroenterology · Sandy, UT
1882
Scott Ferreira
Clinical Cardiac Electrophysiology · Springfield, MO
1749
Jennifer Palagiri
Gastroenterology · Troy, MO
16114
Nadeem Parkar
Diagnostic Radiology · Saint Louis, MO
1655
MERCY HOSPITALS EAST COMMUNITIES1536
BURTON, MARY1474
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Maryland Heights, MO
1323
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
SLH VISTA, INC.226926
SSM HEALTH CARE ST. LOUIS112439
Cary Stolar
Diagnostic Radiology · Saint Louis, MO
36172
Christine Hachem
Gastroenterology · Sandy, UT
3493
Ece Akduman
Diagnostic Radiology · Saint Louis, MO
33163
Jinping Lai
Pathology · West Hollywood, CA
3373
GARRETT, ROBERT31109
Labone Llc
Clinical Laboratory · Lenexa, KS
31107
Peter Holtz
Diagnostic Radiology · Chesterfield, MO
3096
Stephen Huebner
Diagnostic Radiology · St. Louis, MO
2764
Priti Lele
Anesthesiology · Saint Louis, MO
2657
Jennifer Palagiri
Gastroenterology · Troy, MO
2580
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.