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PROVIDER PROFILE · NPI 1053424853

Peter FalkMD

General PracticeGreen Bay, WII
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 520049
Hospital
CCN 520075
Hospital
CCN 520097
Hospital
REFERRAL NETWORK

Where Peter Falk'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). 1 inbound referrers · 5 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS1766
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
BELLIN MEMORIAL HOSPITAL INC.49172
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS2483
GASSNER, JOHN1231
Scott Ruggles
Colorectal Surgery (Proctology) · Green Bay, WI
1136
Marc Grodsky
Colorectal Surgery (Proctology) · Green Bay, WI
1127
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
61
Beneficiaries
—
Total drug cost
$1K
Distinct drugs
2
Brand share
80.3%
Top prescribed drugs
Sodium Chloride/Nahco3/Kcl/Peg49 claims
Ciprofloxacin Hcl12 claims
QUALITY · MIPS · 2024
Final MIPS score
94.8
Quality
86.0
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.83%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
54
Unique beneficiaries
—
Total services
76
Distinct HCPCS
3
Medicare payment
$4K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 24 General Practice providers in WI — below median (cohort median 332).