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PROVIDER PROFILE · NPI 1053365742

Michael KossMD

GastroenterologySun City West, AZI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
84.1
Quality
76.3
Cost
71.6
Improvement activities
40.0
Promoting interop.
99.0
Payment adjustment
0.38%
Group
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 030061
Hospital
CCN 030093
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
766
Beneficiaries
—
Total drug cost
$52K
Distinct drugs
12
Brand share
30.7%
Top prescribed drugs
Pantoprazole Sodium326 claims
Sodium, Potassium,mag Sulfates162 claims
Omeprazole70 claims
Famotidine60 claims
Sucralfate29 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,142
Unique beneficiaries
—
Total services
1,261
Distinct HCPCS
18
Medicare payment
$133K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 280 Gastroenterology providers in AZ — top quintile (cohort median 659).
REFERRAL NETWORK

Where Michael Koss'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). 26 inbound referrers · 65 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
CHARNEY, ALBERT116223
Samuel Braff
Diagnostic Radiology · Phoenix, AZ
5394
Bradley Mullen
Diagnostic Radiology · Glendale, AZ
5390
Scott Agran
Diagnostic Radiology · Phoenix, AZ
4872
Zifa Wang
Interventional Radiology · Glendale, AZ
4376
Nicholas Weisman
Diagnostic Radiology · Glendale, AZ
3961
BANNER ARIZONA ASC LLC3847
Jamil Razzaq
Internal Medicine · Sun City West, AZ
3267
Nataliya Plyushcheva
Diagnostic Radiology · Nashville, TN
3143
Parthiban Ramachandran
Diagnostic Radiology · Glendale, AZ
3044
Thomas Ruhlen
Pathology · Sun City West, AZ
2942
Candace Napier
Nurse Practitioner · Sun City West, AZ
2358
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Sonora Quest Laboratories Llc
Clinical Laboratory · Phoenix, AZ
2751,162
BANNER DEL E WEBB MEDICAL CENTER213616
BANNER ARIZONA ASC LLC199320
BANNER BOSWELL MEDICAL CENTER82160
CHARNEY, ALBERT79138
WOLOSZYN, TOMASZ53101
BECK, DAVID52160
Samuel Braff
Diagnostic Radiology · Phoenix, AZ
4974
Phillip Moss
Anesthesiology · Phoenix, AZ
48147
Thomas Ruhlen
Pathology · Sun City West, AZ
46122
Dasan Schmitt
Pathology · Sun City, AZ
44103
Jason Barclay-White
Diagnostic Radiology · Phoenix, AZ
3781
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.