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PROVIDER PROFILE · NPI 1053375105

Edward MacinerneyM.D.

PRACTICEELEMENT DENTAL PLLCSee all providers at this practice →
CardiologyCoeur D Alene, IDI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
Final MIPS score
86.7
Quality
89.3
Cost
0.0
Improvement activities
40.0
Promoting interop.
69.9
Payment adjustment
0.49%
APM Entity
PRESCRIBING · PART D · 2024
Total Rx claims
1,679
Beneficiaries
—
Total drug cost
$718K
Distinct drugs
27
Brand share
33.1%
Top prescribed drugs
Metoprolol Succinate385 claims
Apixaban185 claims
Atorvastatin Calcium141 claims
Isosorbide Mononitrate111 claims
Rosuvastatin Calcium106 claims
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 130049
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
597
Unique beneficiaries
—
Total services
647
Distinct HCPCS
8
Medicare payment
$37K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 50 Cardiology providers in ID — bottom quintile (cohort median 2,044).
REFERRAL NETWORK

Where Edward Macinerney'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). 35 inbound referrers · 79 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
ST. JOSEPH MEDICAL CENTER205430
Gerald Mancuso
Cardiology · Kansas City, MO
55129
Patrick O'toole
Diagnostic Radiology · Kansas City, MO
5377
Luke Wilson
Diagnostic Radiology · Kansas City, MO
5396
Charles Horner
Diagnostic Radiology · Kansas City, MO
51116
Richard Kuckelman
Diagnostic Radiology · Kansas City, MO
4279
Laboratory Corporation Of America Holdings
Clinical Laboratory · Overland Park, KS
36100
David Burkart
Interventional Radiology · Kansas City, MO
3594
Timothy Mihalovich
Diagnostic Radiology · Kansas City, MO
3575
Jane Stewart
Family Practice · Kansas City, KS
3371
Patrick Perkins
Pulmonary Disease · Kansas City, MO
3195
David Galbreath
Family Practice · Scottsdale, AZ
24121
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
PRIME HEALTHCARE SERVICES - PROVIDENCE, LLC2311,042
ST. JOSEPH MEDICAL CENTER171407
Craig Lundgren
Cardiology · Kansas City, MO
82174
James Bergh
Diagnostic Radiology · Kansas City, MO
80165
Gerald Mancuso
Cardiology · Kansas City, MO
79162
David Burkart
Interventional Radiology · Kansas City, MO
78284
Michael Matchette
Diagnostic Radiology · Wichita, KS
73172
Charles Horner
Diagnostic Radiology · Kansas City, MO
67138
Corey Chopra
Diagnostic Radiology · Overland Park, KS
64147
Donald Walker
Interventional Radiology · Knoxville, TN
64179
Kenneth Koontz
Diagnostic Radiology · Kansas City, MO
55114
Timothy Smith
Pulmonary Disease · Kansas City, MO
54192
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.