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PROVIDER PROFILE · NPI 1053396127

Mary Ann DomingoM.D.

RheumatologyGranger, INI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,066
Unique beneficiaries
—
Total services
13,172
Distinct HCPCS
14
Medicare payment
$246K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 82 Rheumatology providers in IN — top quintile (cohort median 1,092).
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 150018
Hospital
CCN 150058
Hospital
CCN 150076
Hospital
CCN 151300
Hospital
CCN 230021
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
5,064
Beneficiaries
—
Total drug cost
$3.4M
Distinct drugs
59
Brand share
34.6%
Top prescribed drugs
Methotrexate Sodium716 claims
Prednisone603 claims
Hydroxychloroquine Sulfate506 claims
Hydrocodone/Acetaminophen312 claims
Gabapentin276 claims
QUALITY · MIPS · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$771
Payment records
34
By payment type
Food and Beverage$771
REFERRAL NETWORK

Where Mary Ann Domingo'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). 6 inbound referrers · 12 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
MEMORIAL HOSPITAL OF SOUTH BEND57112
LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC35113
STRANIERO, NICHOLAS2459
INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC2333
The South Bend Clinic Llc
Ambulatory Surgical Center · South Bend, IN
1324
ELKHART GENERAL HOSPITAL, INC.1334
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
George Kneller
Family Practice · Laporte, IN
150426
South Bend Medical Foundation, Inc
Clinical Laboratory · South Bend, IN
94254
MEMORIAL HOSPITAL OF SOUTH BEND79250
LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC35145
INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC2974
SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, INC.2356
ELKHART GENERAL HOSPITAL, INC.1973
STRANIERO, NICHOLAS1941
SEIFFERT, THOMAS1743
The South Bend Clinic Llc
Ambulatory Surgical Center · South Bend, IN
1225
Michael Grantham
Diagnostic Radiology · Mishawaka, IN
1123
Alexander Tawadros
Diagnostic Radiology · Mishawaka, IN
1126
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.