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PROVIDER PROFILE · NPI 1043249873

Karen Karalunas-FisherNP

Nurse PractitionerCape Girardeau, MOI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 260183
Hospital
CCN 261311
Hospital
REFERRAL NETWORK

Where Karen Karalunas-Fisher'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). 0 inbound referrers · 1 outbound destinations.

Receives referrals from
Inbound — who sends patients here
No inbound pairs above the suppression threshold.
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
SAINT FRANCIS MEDICAL CENTER1115
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.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$23
Payment records
1
By payment type
Food and Beverage$23
QUALITY · MIPS · 2024
Final MIPS score
67.1
Quality
85.4
Cost
0.0
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
-0.95%
APM Entity
PRESCRIBING · PART D · 2024
Total Rx claims
214
Beneficiaries
—
Total drug cost
$31K
Distinct drugs
8
Brand share
34.6%
Top prescribed drugs
Gabapentin57 claims
Apixaban36 claims
Metoprolol Succinate32 claims
Clopidogrel Bisulfate27 claims
Cephalexin20 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
308
Unique beneficiaries
—
Total services
352
Distinct HCPCS
5
Medicare payment
$12K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 4,714 Nurse Practitioner providers in MO — above median (cohort median 251).