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PROVIDER PROFILE · NPI 1073715975

Ezana AzeneMD, PHD

PRACTICEGUNDERSEN CLINIC LTDSee all providers at this practice →
Diagnostic RadiologyLa Crosse, WII
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
No data available for this provider in 2024.
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 520087
Hospital
CCN 521348
Hospital
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$350
Payment records
4
By payment type
Food and Beverage$350
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
423
Unique beneficiaries
—
Total services
546
Distinct HCPCS
15
Medicare payment
$25K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 749 Diagnostic Radiology providers in WI — bottom quintile (cohort median 2,525).
REFERRAL NETWORK

Where Ezana Azene'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). 24 inbound referrers · 81 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
GUNDERSEN LUTHERAN MEDICAL CENTER INC3361,500
MANSKE, BRIAN5493
Daniel Schraith
Pathology · La Crosse, WI
3762
Kurt Ziegelbein
Interventional Radiology · La Crosse, WI
3597
Todd Ebbert
Diagnostic Radiology · La Crosse, WI
2959
Balaji Srinivasan
Nephrology · La Crosse, WI
26111
GUNDERSEN LUTHERAN MEDICAL CENTER INC2543
WINONA HEALTH SERVICES25123
John Houskamp
Internal Medicine · Grand Rapids, MI
2260
VERNON MEMORIAL HEALTHCARE, INC.2166
Alexander Bajgrowicz
Diagnostic Radiology · Milwaukee, WI
2138
HORSTMAN, ANDREW2075
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
GUNDERSEN LUTHERAN MEDICAL CENTER INC4151,797
JOHNSON, GORDON75128
Kurt Ziegelbein
Interventional Radiology · La Crosse, WI
73186
GUNDERSEN, LINCOLN58162
HORSTMAN, ANDREW55144
Paul Stanton
Diagnostic Radiology · La Crosse, WI
5187
IRONS, WILLIAM48113
Jody Riherd
Diagnostic Radiology · La Crosse, WI
4080
Michael Witcik
Internal Medicine · La Crosse, WI
3663
Todd Ebbert
Diagnostic Radiology · La Crosse, WI
3595
Daniel Schraith
Pathology · La Crosse, WI
3558
Jedadiah Schaller
Diagnostic Radiology · La Crosse, WI
3552
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.