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PROVIDER PROFILE · NPI 1043550718

Melissa GuancheMD

Physical Medicine and RehabilitationMiami, FLI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 100008
Hospital
CCN 100154
Hospital
CCN 100296
Hospital
REFERRAL NETWORK

Where Melissa Guanche'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). 2 inbound referrers · 4 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Pedro Aguilar
Neurosurgery · Clairton, PA
1333
JEFFERSON REGIONAL MEDICAL CENTER1120
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Spartan Health Surgicenter Llc
Ambulatory Surgical Center · Monongahela, PA
48120
UNIONTOWN HOSPITAL2463
MONONGAHELA VALLEY HOSPITAL, INC.1740
ST CLAIR MEMORIAL HOSPITAL1334
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.
PRESCRIBING · PART D · 2024
Total Rx claims
985
Beneficiaries
—
Total drug cost
$13K
Distinct drugs
15
Brand share
4.7%
Top prescribed drugs
Gabapentin367 claims
Pregabalin149 claims
Tramadol Hcl125 claims
Duloxetine Hcl77 claims
Methylprednisolone55 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
464
Unique beneficiaries
—
Total services
664
Distinct HCPCS
8
Medicare payment
$72K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 558 Physical Medicine and Rehabilitation providers in FL — below median (cohort median 1,812).
QUALITY · MIPS · 2024
Final MIPS score
99.0
Quality
81.9
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
1.01%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.